Active NPI
Joseph Noel Nieves, M.D.
- Psychiatry Physician
- Cutler Bay, FL
National Provider Identifier
1417188319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME130572
- Practice address
- 10300 SW 216TH St
Cutler Bay, FL 33190 - Phone
- (305) 253-5100
- NPI assigned
- Jul 27, 2009
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18570 | PR | |
| Psychiatry Physician | 2084P0800X | ME130572 | FL | Primary |
Addresses
Primary practice location
10300 SW 216TH St
Cutler Bay, FL 33190
Mailing address
2315 W Murphy Dr
Dunlap, IL 61525-9445
Phone (201) 681-2569
Other practice location 1
7031 SW 62nd Ave
Larkin Community Hospital
South Miami, FL 33143-4701
Phone (305) 284-7500 ext. 7659
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02249550 | Medicaid | FL | |
| JE608Z | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME130572 | FL | MD | Psychiatry Physician |
| 18570 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1417188319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 W MURPHY DR",
"city": "DUNLAP",
"state": "IL",
"postal_code": "615259445",
"telephone_number": "201-681-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 216TH ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "33190",
"telephone_number": "305-253-5100"
}
],
"practiceLocations": [
{
"address_1": "7031 SW 62nd Ave",
"address_2": "Larkin Community Hospital",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434701",
"country_code": "US",
"telephone_number": "305-284-7500 x7659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEVES",
"first_name": "JOSEPH",
"middle_name": "NOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18570",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME130572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02249550",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JE608Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.