DR. EDWARD ATKINSON NICHOLS (NPI# 1952476053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952476053 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ATKINSON NICHOLS |
| Credential | MD |
| Practice Address |
210 W 139th St New York NY 10030-2109 |
| Practice Telephone | 2122342121 |
| Practice Fax Number | 2122341759 |
| Mailing Telephone | 2122342121 |
| Mailing Fax Number | 2122341759 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 093296-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00151804 | 05 | |
| NY | BLUE CROSS BLU SHIELD | 676432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669734596 | Edward Nichols | Social Worker | 22 Weir St, 3rd Floor, Sidney, NY 13838-1022 | 2012-06-15 |
| 1063745602 | Edward Clay Nichols | Nurse Practitioner | 3326 Front St, Winnsboro, LA 71295-6487 | 2009-09-15 |
| 1740305291 | Edward Lee Nichols | Dentist | 720 E Latham Ave, Suite 2, Hemet, CA 92543-4371 | 2007-03-20 |
| 1558372896 | Edward L Nichols | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2006-08-11 |
| Street Address |
210 W 139TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10030-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251208 | Diana Annmarie Wint | Nurse Practitioner | 210 W 139th St, Basement, New York, NY 10030-2109 | 2006-11-14 |
| 1447481502 | Theresa Cecelia Wilson | Nurse Practitioner | 210 W 139th St, C/o Edward Nichols Md, New York, NY 10030-2109 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869695 | Careaide Direct, LLC | Technician | 2368 Adam Clayton Powell Blvd Suite 1f, New York, NY 10030 | 2019-03-12 |
| 1619434073 | Eric E Arnold Mental Health Counseling Private Practice | Counselor | 273 West 138th Street, Unit #2a, New York, NY 10030 | 2019-02-21 |
| 1255794384 | Chavel Pamela Guzman | Counselor | 200 W 143rd St, 17d, New York, NY 10030 | 2016-04-05 |
| 1679973028 | Rachel Mager | Speech-Language Pathologist | 301 W 140th St, New York, NY 10030 | 2014-09-03 |
| 1215353164 | Riley Aponte | Counselor | 318 W 138 #4f, Ny, NY 10030 | 2014-03-14 |
| 1477805141 | Robin Goodwin | Licensed Practical Nurse | 229 West 144th St., 54, Newyork, NY 10030 | 2012-10-05 |
| 1407120892 | Latasha O'bryant | Occupational Therapist | 2574d 8th Avenue, New York, NY 10030 | 2012-03-02 |
| 1205106010 | Dhruv A Shah | Physical Therapist | 131 West 135th St, Lenox Rehab, New York, NY 10030 | 2012-01-10 |
| 1093024283 | Kristin Joy Carothers | Psychologist | 308 West 140th Street, #4, New York, NY 10030 | 2010-10-05 |
| 1134431190 | Melanie Rose Cabatingan | Occupational Therapist | 131 W 135th Street, Lenox Rehabilitation, New York, NY 10030 | 2010-07-07 |
| Find all providers in zip 10030 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203378 | Private Medical New York, PC | Pediatrics | 110 E 60th St # 808, New York, NY 10022-1688 | 2019-09-04 |
| 1205482452 | Manhattan Valley Pediatrics | Pediatrics | 2637 Broadway, New York, NY 10025-5022 | 2019-08-14 |
| 1891349122 | Amal Khidir | Pediatrics | 445 E 69th St Rm 432, New York, NY 10021-5602 | 2019-07-25 |
| 1154888766 | Amy Leung | Pediatrics | 139 Centre St Ste 314, New York, NY 10013-4554 | 2019-03-01 |
| 1699288795 | Amaranth Pediatric Health, PC | Pediatrics | 210 Canal St Rm 305, New York, NY 10013-4186 | 2017-11-10 |
| 1356862817 | Saroj Choudhary | Pediatrics | 234 E 149th St, Bronx, New York, NY 10451 | 2017-07-05 |
| 1457889487 | Dineeta Kubhar | Pediatrics | 462 1st Ave # Nbv, New York, NY 10016-9196 | 2017-06-03 |
| 1619320835 | Winston Yuen | Pediatrics | 286 South St Apt 14a, New York, NY 10002-8081 | 2016-07-22 |
| 1558714584 | Moonlight Pediatrics of Nyc, P.C. | Pediatrics | 111 W 25th St, New York, NY 10001-7243 | 2016-07-14 |
| 1992153787 | Charlyn Marie Laserna | Pediatrics | 1000 10th Ave Ste 11g, New York, NY 10019-1147 | 2016-06-02 |
| Find all providers in NEW YORK | ||||
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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.