Individual provider Active NPI

Julian Nelson, MD

  • Pediatrics Physician
  • Poughkeepsie, NY
National Provider Identifier
1609863364
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
231038 Issued in NY
Practice address
301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2895
Phone
(845) 452-1700
NPI assigned
Sep 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 231038 NY Primary

Addresses

Primary practice location

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2895

Mailing address

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2895
Phone (845) 452-1700

Other practice location 1

111 Maltese Dr
Middletown, NY 10940-2141
Phone (845) 342-4774

Other practice location 2

1650 Grand Concourse
Bronx, NY 10457-7679
Phone (718) 992-7669

Other identifiers 1

IdentifierTypeStateIssuer
02618151MedicaidNY

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
I20041216000460 NY Practitioner - Pediatric Medicine 4183681695 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231038NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Jan 22, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 31, 2023 Accepting new patients
Middletown Medical PC Pediatrics CurrentSince Sep 5, 2023 Accepting new patients
Bronxcare Health System Pediatrics CurrentSince Jan 22, 2024 Accepting new patients
Middletown Medical PC CurrentSince Sep 5, 2023 Accepting new patients
Columbia Memorial Hospital CurrentSince Jun 2, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Mar 31, 2023 Accepting new patients
Columbia Memorial Hospital Current Accepting new patients
Columbia Memorial Hospital CurrentSince Jun 2, 2024 Accepting new patients
The Children'S Medical Group PLLC Pediatrics PastSince May 10, 2020 Accepting new patients
The Children'S Medical Group PLLC Pediatrics Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
The Childrens Medical Group Pediatrics Past Accepting new patients
The Children'S Medical Group PLLC Pediatrics Past Accepting new patients
Pediatric and Adolescent Urgent Care of Western New York PastSince Apr 1, 2023 Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

813 Warren St
Hudson, NY 12534
Phone (518) 822-9111

111 Maltese Dr
Middletown, NY 10940

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

300 Community Dr
Plandome, NY 11030

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: juliannelson@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: jnelson100513@albanymed.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1609863364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032895",
            "telephone_number": "845-452-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032895",
            "telephone_number": "845-452-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Maltese Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402141",
            "country_code": "US",
            "telephone_number": "845-342-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577679",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-28",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "231038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.