Mario Nelson MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

BN0226375 Issued in NY

Legal business name

MARIO NELSON MD PC

Practice address

265 N Main St
Suite C
Spring Valley, NY 10977-3702

Phone

(845) 365-2881

Fax

(845) 290-6977

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mario Nelson, M.D.

Title

President

Phone

(845) 365-2881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1669632188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "address_2": "SUITE C",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773702",
            "telephone_number": "845-365-2881",
            "fax_number": "845-290-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "address_2": "SUITE C",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773702",
            "telephone_number": "845-365-2881",
            "fax_number": "845-290-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO NELSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-365-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "BN0226375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beatrice R Marseille, RN,APN
• Holly Beth Marshall, M.S. CCC-SLP

• Physical Medicine & Rehabilitation Physician in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.