Julie Nissim DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JULIE NISSIM DO PC

Practice address

25 5TH Ave
Unit 1F
New York, NY 10003-4307

Phone

(917) 254-4872

Fax

(917) 254-4873

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Nissim, DONPI 1558583153

Title

Owner

Phone

(917) 254-4872

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie A Nissim, D.O

  • Internal Medicine Physician
  • New York, NY
  • NPI 1558583153
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1295167815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 5TH AVE",
            "address_2": "UNIT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034307",
            "telephone_number": "917-254-4872",
            "fax_number": "917-254-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 5TH AVE",
            "address_2": "UNIT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034307",
            "telephone_number": "917-254-4872",
            "fax_number": "917-254-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE NISSIM DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "NISSIM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-254-4872",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Juliano, PSYD
• Mary Ann M Juliano, RN, MSN, AOCN
• Merritt Juliano, JD, MSW
• Alexa Ryan Julich, OTR/L
• Julie Koven PHD Psychologist PLLC
• Julie Pharacy Corp
• Julie Pharmacy Corporation
• Jenna Julien
• Natasha Lisa Julien, CRNA
• Julio E Albarran Marzan MD PC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.