Active NPI
Marvin Elmer Nielsen Jr., M.D.
- Aerospace Medicine Physician
- Salisbury, MD
National Provider Identifier
1386613008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- D26304
- Practice address
- 918 Eastern Shore Dr
Salisbury, MD 21804-6410 - Phone
- (410) 749-1124
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | D26304 | MD | Primary |
| Diagnostic Radiology Physician | 2085R0202X | D26304 | MD |
Addresses
Primary practice location
918 Eastern Shore Dr
Salisbury, MD 21804-6410
Mailing address
27938 Oaklands Cir
Easton, MD 21601-8262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386613008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27938 OAKLANDS CIR",
"city": "EASTON",
"state": "MD",
"postal_code": "216018262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 EASTERN SHORE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046410",
"telephone_number": "410-749-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "MARVIN",
"middle_name": "ELMER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "MD",
"license": "D26304",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D26304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.