Alan C Nussbaum, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

181570 Issued in NY

Practice address

603 Sierra Vista LN
Valley Cottage, NY 10989-2715

Phone

(845) 486-2703

Fax

(845) 790-2199

NPI assigned

Mar 19, 2007

Last updated

May 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Junaid Hashim MD

  dba Williamsville Psychiatry PLLC

  • Psychiatry Physician
  • Williamsville, NY
  • NPI 1013199405
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1760506596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SIERRA VISTA LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892715",
            "telephone_number": "845-486-2703",
            "fax_number": "845-790-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SIERRA VISTA LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892715",
            "telephone_number": "845-486-2703",
            "fax_number": "845-790-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "ALAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "181570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanda J Nevola PT PC
• Dana Neal
• Nanda J Nevola, PT, PC
• Wanda Nieves, LMSW, CT
• Amanda Notley-Kim, PT
• Nyack Manor Nursing Home
• Nyack Operating LLC (Nyack Ridge Rehabilitation & Nursing Center)
• Martina Mary O'Reilly, RN
• Operation Engage Inc
• Orthotics & Prosthetics Technologies Corp

• Psychiatry Physician in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.