Guo Nie, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

215026 Issued in NY

Practice address

5615 7TH Ave FL 1
Brooklyn, NY 11220-3509

Phone

(718) 708-9611

Fax

(718) 871-2516

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: guonie@mai.allscriptsdirect.net

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.

• Nie Medical Office PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1285141358
  NPD (past) Authorized official
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1619966892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 7TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203509",
            "telephone_number": "718-708-9611",
            "fax_number": "718-871-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 7TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203509",
            "telephone_number": "718-708-9611",
            "fax_number": "718-871-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIE",
        "first_name": "GUO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Nido
• Sanjana Nidugondi, LMSW
• Nie Lina MD PC
• Nie Medical Office PC
• Ane Nie, FNP-BC
• Lina Nie, MD, PHD
• Jeffrey Niedelman, RPH
• Martin Niedelman, RPH
• Krystal Danielle Nielander
• Alexandra Nielsen, PA

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.