MR. ALEXANDER ELY NICHOLSON NPP NPI 1669737466

NPI Information

  • NPI: 1669737466
  • Provider Name: MR. ALEXANDER ELY NICHOLSON, NPP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 TROY SCHENECTADY RD STE 202
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 782-3703

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NPI Details

MR. Alexander Ely Nicholson, NPP is a psychiatric/mental health nurse practitioner in Latham, NY. MR. Alexander Ely Nicholson, NPP NPI is 1669737466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

711 TROY SCHENECTADY RD STE 202
LATHAM, NY
ZIP 12110-461
Phone: (518) 782-3703
Fax: (518) 782-3809

The NPI 1669737466 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2012 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthF401487-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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