Active NPI
Ziv Nir, M.D.
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1679005474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1090 Amsterdam Ave
Suite F, 16TH Floor
New York, NY 10025 - Phone
- (212) 523-5089
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1090 Amsterdam Ave
Suite F, 16TH Floor
New York, NY 10025
Mailing address
1090 Amsterdam Ave
Suite F, 16TH Floor
New York, NY 10025
Phone (212) 523-5089
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4295
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240806000388 | NY | Order and Referring Only - Psychiatry | 1557808714 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1679005474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVE",
"address_2": "SUITE F, 16TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVE",
"address_2": "SUITE F, 16TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-5089"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-4295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIR",
"first_name": "ZIV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.