MEDICARE: JAMES NIELSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	213529	NY
2	2080P0202X	Pediatric Cardiology Physician	213529-1	NY

General Provider Information

NPI Number	:	1669432266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES NIELSEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1559
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-0989
Country	:	US
Telephone Number	:	631-444-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 TECHNOLOGY DR
Second Line	:	SUITE 2
City	:	EAST SETAUKET
State	:	NY
Zip	:	11733-4080
Country	:	US
Telephone Number	:	631-444-0650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	08/19/2022

Similar Medicare Providers

1114921558 — DR. JACK OATS M.D.
Practice Location Address:

4 TECHNOLOGY DR , SUITE 150
EAST SETAUKET, NY
11733-4080

Practice Phone: 631-941-1400
Practice Fax: 631-941-1476

1154326122 — DR. JOHN R WITTPENN M.D.
Practice Location Address:

4 TECHNOLOGY DR , SUITE 150
EAST SETAUKET, NY
11733-4080

Practice Phone: 631-941-1400
Practice Fax: 631-941-1476

1861490252 — DR. BERNARD LAU M.D.
Practice Location Address:

4 TECHNOLOGY DR , SUITE 250
EAST SETAUKET, NY
11733-4080

Practice Phone: 631-444-4601
Practice Fax: 631-444-4990

1700837234 — DR. ROBERT SETH LEVINE DO
Practice Location Address:

4 TECHNOLOGY DR
EAST SETAUKET, NY
11733-4080

Practice Phone: 631-689-3188
Practice Fax: 732-244-2804

1407894397 — DR. LATHA CHANDRAN M.D., M.P.H.
Practice Location Address:

4 TECHNOLOGY DR
EAST SETAUKET, NY
11733-4080

Practice Phone: 631-444-4601
Practice Fax:

1639110729 — DR. ROBYN BLAIR M.D.
Practice Location Address:

4 TECHNOLOGY DR
EAST SETAUKET, NY
11733-4080

Practice Phone: 631-444-4601
Practice Fax: 631-444-4990

Directions to “ JAMES NIELSEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.