Individual provider Active NPI

Viorel Nicolaescu, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1467530667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
165886 Issued in NY
Practice address
201 East 21St St
Ste 1H
New York, NY 10010-6401
Phone
(212) 353-8552
Fax
(212) 475-8718
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 165886 NY Primary

Addresses

Primary practice location

201 East 21St St
Ste 1H
New York, NY 10010-6401

Mailing address

305 East 24TH Street
Ste 9C
New York, NY 10010-6401
Phone (212) 353-8552

Other identifiers 1

IdentifierTypeStateIssuer
00977239MedicaidNY

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467530667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST 24TH STREET",
            "address_2": "STE 9C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106401",
            "telephone_number": "212-353-8552",
            "fax_number": "212-475-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST 21ST ST",
            "address_2": "STE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106401",
            "telephone_number": "212-353-8552",
            "fax_number": "212-475-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAESCU",
        "first_name": "VIOREL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00977239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.