DR. ALAN LEON NISSENBAUM


Address: 1636 E 14th St, Suite 114, Brooklyn, NY 11229-1100
Phone: 7189987363

DR. ALAN LEON NISSENBAUM (NPI# 1295879120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295879120
Entity Type Individual
Full Name DR. ALAN LEON NISSENBAUM
Credential MD
Practice Address 1636 E 14th St
Suite 114
Brooklyn
NY 11229-1100
Practice Telephone 7189987363
Practice Fax Number 7189987592
Mailing Telephone 7189987363
Mailing Fax Number 7189987592
Enumeration Date 2007-02-16
Last Update Date 2015-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
177636 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01851147 05

Office Location

Street Address 1636 E 14TH ST
SUITE 114
City BROOKLYN
State NY
Zip Code 11229-1100

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NPI Name Taxonomy Address Enumeration
1285619585 Edward J Sutton Dentist 1636 E 14th St, Suite 114, Brooklyn, NY 11229-1100 2005-12-08
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1881849818 Debra Schwartz Audiologist-Hearing Aid Fitter 1636 E 14th St, Brooklyn, NY 11229-1100 2008-11-18
1598918922 Sheldon Lerner Dentist 1636 E 14th St, Suite 123, Brooklyn, NY 11229-1100 2008-10-29
1659533834 Robert J Mikhli Dentist 1636 E 14th St, Suite 123, Brooklyn, NY 11229-1100 2008-06-27
1881877603 Hooshang Barzegar Md PC Obstetrics & Gynecology 1636 E 14th St, Suite 124, Brooklyn, NY 11229-1100 2007-12-14
1104029289 Harry Ramras Dentist 1636 E 14th St, Brooklyn, NY 11229-1100 2007-06-07
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1750841953 Live Well Medical Care, PC Internal Medicine 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 2019-03-22
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1598035081 Li Yang Internal Medicine 849 57th St Ste 7, Brooklyn, NY 11220-3798 2011-12-30
1184913063 Svetlana Pyatigorskaya Internal Medicine 770 Flatbush Ave, Brooklyn, NY 11226-1902 2011-03-31
1558677054 Lutfi Alasadi Internal Medicine One Brookdale Plaza, Room 169 Chc, Brooklyn, NY 11212 2010-08-23
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1538391685 Shore Front LLC Internal Medicine 2511 Ocean Avenue, Brooklyn, NY 11229 2009-08-21
1639300981 Sein Yin See Internal Medicine 7261 Shore Rd Apt 6x, Brooklyn, NY 11209-1846 2009-08-04
1164664652 Evergreen Medical Pllc Internal Medicine 755-759 61st Street, Brooklyn, NY 11220-4211 2009-03-30
1528254067 Alan L Nissenbaum Medical Services PC Internal Medicine 3915 Avenue V # 104, Brooklyn, NY 11234-5156 2007-09-19
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City BROOKLYN
Zip Code 11229

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Dataset Information

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.

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