Individual provider Active NPI

Nicholas Nsiah

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1992324891
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347481 Issued in NY
Practice address
326 E 149TH St
Bronx, NY 10451-5602
Phone
(917) 870-1975
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 722680 NY
Family Nurse Practitioner 363LF0000X 347481 NY Primary

Addresses

Primary practice location

326 E 149TH St
Bronx, NY 10451-5602

Mailing address

326 E 149TH St
Bronx, NY 10451-5602

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818002242 NY Practitioner - Nurse Practitioner 7214310564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
722680NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medassist NJ II CurrentSince Mar 18, 2024 Accepting new patients
Siuc Medical PC CurrentSince Aug 1, 2022 Accepting new patients
1211 WPR Medical Services PC CurrentSince Aug 1, 2022 Accepting new patients
Medequipped LLC CurrentSince Mar 18, 2024 Accepting new patients
Probe Health Services Current Accepting new patients

Locations

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1992324891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "917-870-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSIAH",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-06-11",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "722680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.