Individual provider Active NPI

Nieves Cuervo, MD

  • Psychiatry Physician
  • Paterson, NJ
National Provider Identifier
1669657508
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08361600 Issued in NJ
Practice address
56 Hamilton St.
Paterson, NJ 07505-4509
Phone
(973) 754-4776
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 247181-1 NY
Psychiatry Physician 2084P0800X 25MA08361600 NJ Primary

Addresses

Primary practice location

56 Hamilton St.
Paterson, NJ 07505-4509

Mailing address

87 Route 17 North
Suite 1-118
Maywood, NJ 07607
Phone (551) 996-4450

Other practice location 1

87 Route 17 North
Suite 1-118
Maywood, NJ 07607
Phone (551) 996-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080428000472 NJ Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Geriatric Psychiatry 2062590367 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247181-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Psychiatric Associates, L.L.C. Psychiatry CurrentSince Jan 24, 2020 Accepting new patients
Center of Revitalizing Psychiatry, P.C. Psychiatry CurrentSince Mar 15, 2018 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince May 21, 2017 Accepting new patients
Ms Integrated Psychotherapy and Counseling LLC CurrentSince May 11, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

1157 Main Ave
Clifton, NJ 07011
Phone (973) 341-9869

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

56 Hamilton St
Paterson, NJ 07505
Phone (973) 754-4750

340 W Passaic St
Ste 1
Rochelle Park, NJ 07662
Phone (201) 488-5161

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1669657508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ROUTE 17 NORTH",
            "address_2": "SUITE 1-118",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "07607",
            "telephone_number": "551-996-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HAMILTON ST.",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075054509",
            "telephone_number": "973-754-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Route 17 North",
            "address_2": "Suite 1-118",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "NJ",
            "postal_code": "07607",
            "country_code": "US",
            "telephone_number": "551-996-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUERVO",
        "first_name": "NIEVES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247181-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08361600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.