Eric T. Nielsen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

120856 Issued in NY

Practice address

125 Maple Center Rd
Hilton, NY 14468-9011

Phone

(585) 739-1440

Fax

(585) 392-3316

NPI assigned

Jul 11, 2006

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

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1952336992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAPLE CENTER RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689011",
            "telephone_number": "585-739-1440",
            "fax_number": "585-392-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAPLE CENTER RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689011",
            "telephone_number": "585-739-1440",
            "fax_number": "585-392-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ERIC",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "120856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Morriss, DDS
• Lauren Beth Mosca-Moore, M.S., CCC-SLP
• Sarah Marie Mostarda, LCSW
• Stephanie Nicole Munding, NP
• Alaina Marie Nelson, RN
• Robert Thomas Niertit, PTA
• Michaela Ann Northrup, PT
• Jaclyn Marie Odell, R.N.
• Braeden Baker Ott
• Nicki L Parris, LPN

• Internal Medicine Physician in Hilton, NY
• Providers in Hilton, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.