Active NPI
Norman Joseph Nichols, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1811268931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 076612
- Practice address
- 5234 Netherland Ave
Bronx, NY 10471-2810 - Phone
- (718) 549-8214
- Fax
- (718) 549-8214
- NPI assigned
- Jan 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 076612 | NY | Primary |
Addresses
Primary practice location
5234 Netherland Ave
Bronx, NY 10471-2810
Mailing address
5234 Netherland Ave
Bronx, NY 10471-2810
Phone (718) 549-8214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076612 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1811268931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5234 NETHERLAND AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712810",
"telephone_number": "718-549-8214",
"fax_number": "718-549-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5234 NETHERLAND AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712810",
"telephone_number": "718-549-8214",
"fax_number": "718-549-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "NORMAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "076612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.