DR. WALTER LEO NIEVES M.D. NPI 1740206440

NPI Information

NPI: 1740206440
Provider Name: DR. WALTER LEO NIEVES, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
11 N AIRMONT RD
STE 10
SUFFERN, NY
ZIP 10901
Phone: (845) 357-5525
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DR. Walter Leo Nieves, M.D. is a neurology psychiatry neurology in Suffern, NY with 48 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Walter Leo Nieves, M.D. NPI is 1740206440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1976

The provider's business location address is:

11 N AIRMONT RD
STE 10
SUFFERN, NY
ZIP 10901-103
Phone: (845) 357-5525
Fax: (845) 357-1613

The NPI 1740206440 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 7/14/2006 and was last updated on 11/1/2017.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	132973	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00483358	MEDICAID	NEW YORK
2	C08191	MEDICARE UPIN	NEW YORK
3	31A111	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE #
4	CPN-N 227967	OTHER	NEW YORK	WCB RATING, AUTH. #

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: 4/28/2024

NPI Synchronization or Removal

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