Marvin Alfred Nierenberg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0871881-1 Issued in NY

Practice address

15 W 81St St
1-B
New York, NY 10024-6022

Phone

(212) 874-6484

Fax

(212) 874-0104

NPI assigned

May 17, 2007

Last updated

Aug 21, 2010By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marvin a Nierenberg, M.D.,P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1285941096
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1780891655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 81ST ST",
            "address_2": "1-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246022",
            "telephone_number": "212-874-6484",
            "fax_number": "212-874-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 81ST ST",
            "address_2": "1-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246022",
            "telephone_number": "212-874-6484",
            "fax_number": "212-874-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERENBERG",
        "first_name": "MARVIN",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "0871881-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Niemoeller
• Marvin Daniel Nienaltow, M.D.
• Sophie Nienburg
• Almoustapha Nientao
• Hilary Meredith Nierenberg, NP
• Ona Nierenberg, PHD
• Tori Nierenberg, MD
• David M Nierman, MD
• Frank J Niesuchouski, CRNA
• Ruben Niesvizky, MD

• Psychiatry Physician in New York, NY
• Providers in New York, 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 Aug 21, 2010; 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.

Verify at the official NPI Registry.