DR. BRIAN WALRATH NICHOLAS (NPI# 1023242849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023242849 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WALRATH NICHOLAS |
| Credential | MD |
| Practice Address |
2800 Marcus Ave Ste 108 New Hyde Park NY 11042-1113 |
| Practice Telephone | 5166227400 |
| Mailing Telephone | 5166227400 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 254112 | MA | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
262969 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174857866 | Brian H Nicholas | Acupuncturist | 5 Stanley Rd, South Orange, NJ 07079-2700 | 2009-09-28 |
| 1609086909 | Brian D Nicholas | Otolaryngology | 750 E Adams St, 241 Campus West, Syracuse, NY 13210-2342 | 2007-05-23 |
| Street Address |
2800 MARCUS AVE STE 108 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023248135 | Liborio Carmine Musacchia | Anesthesiology | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2009-07-23 |
| 1881869857 | Maryam Rahimzadeh | Anesthesiology | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801222815 | Richard David Kayne | Anesthesiology | 140 Riverside Dr # 4j, New York, NY 10024-2605 | 2013-09-23 |
| 1003158825 | Gabriela Aszody | Anesthesiology | 14 Dogwood Ln, Apt. 337, Beacon, NY 12508-1572 | 2013-03-19 |
| 1235405325 | Ellise Catherine Cappuccio | Anesthesiology | 111 E 210th St Dept Of, Bronx, NY 10467 | 2012-03-22 |
| 1326272055 | Dominique Aimee Jean | Anesthesiology | 1400 Pelham Pkwy S Rm Bs40, Bronx, NY 10461-1119 | 2009-05-09 |
| 1972762664 | Anita Kantilal Patel | Anesthesiology | 4615 Center Blvd, Apt 310, Long Island City, NY 11109-5738 | 2008-06-06 |
| 1518919968 | Bedford Anesthesia, Pllc | Anesthesiology | 34 South Bedford Road, Mt Kisco, NY 10549 | 2006-05-16 |
| 1114978954 | Ronald Jasiewicz | Anesthesiology | Hsc L4-060, Stony Brook University, Stony Brook, NY 11790-8480 | 2006-05-15 |
| 1619394814 | Immaculeta Achilike | Anesthesiology | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2014-03-25 |
| 1285070755 | Mark Shau Huei Teen | Anesthesiology | 111 E 210th St, Bronx, NY 10467 | 2013-05-10 |
| 1326482993 | Jayanth Swathirajan | Anesthesiology | 525 E 68th St, New York, NY 10065 | 2013-04-25 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.