Organization Active NPI

Paul Edgard Nacier, Physician, P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1992933972
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
144585 Issued in NY
Legal business name
PAUL EDGARD NACIER, PHYSICIAN, P.C.
Practice address
124 E 43Rd St
Suite 1
Brooklyn, NY 11203-3049
Phone
(718) 940-6166
Fax
(718) 940-4964
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Paul E Nacier, M.D.
Title
Sole Owner/Physician
Phone
(718) 940-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 144585 NY Primary

Addresses

Primary practice location

124 E 43Rd St
Suite 1
Brooklyn, NY 11203-3049

Mailing address

20 The Drawbridge
Woodbury, NY 11797-1000
Phone (718) 940-6166

Other identifiers 2

IdentifierTypeStateIssuer
00848875MedicaidNY
1003873902OtherNYTYPE CODE 1 NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1992933972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 THE DRAWBRIDGE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971000",
            "telephone_number": "718-940-6166",
            "fax_number": "718-940-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 43RD ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033049",
            "telephone_number": "718-940-6166",
            "fax_number": "718-940-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL EDGARD NACIER, PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "NACIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "718-940-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "144585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848875",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE CODE 1 NPI",
            "identifier": "1003873902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.