Individual provider Active NPI

Nichele Nivens, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1548422942
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
248970 Issued in NY
Practice address
1276 Fulton Ave
Dept of Family Medicine
Bronx, NY 10456-3402
Phone
(718) 590-1800
NPI assigned
Jun 26, 2008
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 248970 NY Primary

Addresses

Primary practice location

1276 Fulton Ave
Dept of Family Medicine
Bronx, NY 10456-3402

Mailing address

1276 Fulton Ave
Dept of Family Medicine
Bronx, NY 10456-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20080905000237 NY Practitioner - Family Practice 9638245244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1 Miller PL
Smithtown, NY 11787-3629
Phone (631) 604-4024

2150 Hempstead Tpke
Elmont, NY 11003-1551
Phone (516) 492-3441

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
248970NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jan 24, 2026 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 27, 2018 Accepting new patients
LHHN Medical, P.C. Family Medicine Past Accepting new patients

Locations

2150 Hempstead Tpke
#58C
Elmont, NY 11003
Phone (516) 488-3434

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

5145 Nesconset Hwy
Ste 4
Port Jefferson Station, NY 11776
Phone (347) 493-2945

1 Miller Pl
Smithtown, NY 11787
Phone (631) 604-4024

Interoperability endpoints

  • Direct secure messaging: nichelenivens@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: nichele.nivens@ghuc.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1548422942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "address_2": "DEPT OF FAMILY MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "address_2": "DEPT OF FAMILY MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-590-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVENS",
        "first_name": "NICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "248970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.