Organization Active NPI

Neil Niren, MD, PC

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1750440111
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AN1396464 Issued in PA
Legal business name
NEIL NIREN, MD, PC
Practice address
9102 Babcock Blvd
Suite 206
Pittsburgh, PA 15237-5819
Phone
(412) 367-0808
Fax
(412) 366-1584
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Neil Niren, MDNPI 1508838061
Title
Owner
Phone
(412) 367-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X AN1396464 PA Primary

Addresses

Primary practice location

9102 Babcock Blvd
Suite 206
Pittsburgh, PA 15237-5819

Mailing address

9102 Babcock Blvd
Suite 206
Pittsburgh, PA 15237-5819
Phone (412) 367-0808

Other identifiers 1

IdentifierTypeStateIssuer
0017113660003MedicaidPA

National Provider Directory

National Provider Directory

Locations

9102 Babcock Blvd
Ste 206
Pittsburgh, PA 15237
Phone (412) 367-0808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1750440111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 BABCOCK BLVD",
            "address_2": "SUITE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375819",
            "telephone_number": "412-367-0808",
            "fax_number": "412-366-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 BABCOCK BLVD",
            "address_2": "SUITE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375819",
            "telephone_number": "412-367-0808",
            "fax_number": "412-366-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL NIREN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "NIREN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-367-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "AN1396464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017113660003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.