Takuro Nishizawa

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1901 First Avenue
Nyc Health & Hospitals/Metropolitan Hospital, Departmen
New York City, NY 10029

Phone

(212) 423-6771

Fax

(212) 423-8099

NPI assigned

Apr 11, 2025

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 names 1

• Takuro Nishizawa Mineshita Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1881489706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE",
            "address_2": "NYC HEALTH & HOSPITALS/METROPOLITAN HOSPITAL, DEPARTMEN",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6771",
            "fax_number": "212-423-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE",
            "address_2": "NYC HEALTH & HOSPITALS/METROPOLITAN HOSPITAL, DEPARTMEN",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6771",
            "fax_number": "212-423-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIZAWA",
        "first_name": "TAKURO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKURO",
            "last_name": "NISHIZAWA MINESHITA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Student in an Organized Health Care Education/Training Program in New York City, NY
• Providers in New York City, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.