Saundra Nickens

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

231174 Issued in NY

Practice address

3101 Eastchester Rd
Bronx, NY 10469-3107

Phone

(914) 715-4699

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castle Hill Rehab and Medical Services PC

  • Sleep Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1003022336
  NPD (past)
• Dac Physician Services,PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1083732663
  NPD (past)
• Integrative Medical Care PC

  • Specialist
  • Castleton, NY
  • NPI 1275533895
  NPD (past)
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)
• Inspira Health Network Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1447436837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 EASTCHESTER ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693107",
            "telephone_number": "914-715-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKENS",
        "first_name": "SAUNDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NY",
            "license": "231174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Nicholson, FNP
• June Nicholson
• Margaret Nicholson
• Velma V. Nicholson, REGISTERED NURSE BSN
• Michael James Nickas, D.O.
• Robert C. Nico, PEER SPECIALIST
• Nicobi Health & Surgical Equipment, Inc.
• Nicola Roselli
• Chloe Nicolaisen, MD
• Constantine John Nicolas, D.C.

• Pediatric Rehabilitation Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Rehabilitation Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.