George W Niedt, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

152334-1 Issued in NY

Practice address

630 W 168TH St
VC15-207
New York, NY 10032-3725

Phone

(212) 305-2155

Fax

(212) 927-9704

NPI assigned

Sep 22, 2006

Last updated

Jan 8, 2016By 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

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

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Fpa Hospital Based

  • Nuclear Medicine Physician
  • New York, NY
  • NPI 1629319413
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Hospital Based Providers

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1104162700
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Dermatology Department of Mount Sinai

  • Dermatology Physician
  • New York, NY
  • NPI 1922365915
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1508266347
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • Fort Lee, NJ
  • NPI 1982993184

  NY

  Medicare reassignment NPD
• Fpa Hospital Based

  dba Mount Sinai Pathology Hospitalists

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1326389826
  NPD
• Fpa Hospital Based

  dba Mount Sinai Dermatopathology Services III

  • Dermatopathology (Pathology) Physician
  • New York, NY
  • NPI 1841531795
  NPD
• Fpa Hospital Based

  dba Mount Sinai Pathology Outreach

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1962743575
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699289488
  NPD
• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1801996707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879211",
            "telephone_number": "212-305-2155",
            "fax_number": "212-927-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "VC15-207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-2155",
            "fax_number": "212-927-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDT",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "152334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Nie
• Rachel Niec, M.D., PH.D.
• Joseph Martin Nieder, M.D.
• Vincent Niederhoffer, LMT
• Michael Steven Niederman, MD
• Pawel Niedziela, BSN, RN, WCC
• Weilana Niedzielski-Alumisin
• Kathleen Louise Niegocki, PH.D.
• Jan Nieke, MD
• Niel J Squillante MDPC

• Dermatopathology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatopathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.