Walter Leo Nieves, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

132973 Issued in NY

Practice address

11 N Airmont Rd
Ste 10
Suffern, NY 10901-5103

Phone

(845) 357-5525

Fax

(845) 357-1613

NPI assigned

Jul 14, 2006

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

Other identifiers 2

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

Specialty

Neurology

Education

Columbia University College of Physicians and Surgeons, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nyack Hospital Hospital, Nyack, NY, CCN 330104
• Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469
  Care Compare affiliation
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1740206440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD",
            "address_2": "STE 10",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-357-5525",
            "fax_number": "845-357-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD",
            "address_2": "STE 10",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-357-5525",
            "fax_number": "845-357-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "WALTER",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "132973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00483358",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB RATING, AUTH. #",
            "identifier": "CPN-N   227967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Michele Newman, PSY.D.
• Yona Newmark, BCBA, LCA
• Next Chapter ABA Therapy ;;C
• Stephanie Brianna Noelle Nichols, MS, CF-SLP
• Brenda Nieves, RN
• NNTJ Properties,Inc.
• North County Medical Services
• Akbar A Nossoughi, M.D.
• Patricia Ann Nowak
• Aline Numa, RN

• Neurology Physician in Suffern, NY
• Providers in Suffern, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.