Active NPI
Nilo John Pareja, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1598812083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 092009
- Practice address
- 125 E 87TH St
Apt 2-B
New York, NY 10128-1124 - Phone
- (212) 831-6666
- Fax
- (914) 472-0632
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 092009 | NY | Primary |
Addresses
Primary practice location
125 E 87TH St
Apt 2-B
New York, NY 10128-1124
Mailing address
125 E 87TH St
Apt 2-B
New York, NY 10128-1124
Phone (212) 831-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 20, 2021 through Apr 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092009 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1598812083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E 87TH ST",
"address_2": "APT 2-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281124",
"telephone_number": "212-831-6666",
"fax_number": "914-472-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E 87TH ST",
"address_2": "APT 2-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281124",
"telephone_number": "212-831-6666",
"fax_number": "914-472-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREJA",
"first_name": "NILO",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "092009",
"primary": true
}
],
"identifiers": [],
"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 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.