MEDICARE: DR. JOHN J NALIYATH 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	2084P0800X	Psychiatry Physician	FR0435669133	NY
2	2084P0800X	Psychiatry Physician	ME124213	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912268301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J NALIYATH M.D

Provider Business Mailing Address
First Line	:	1870 N LAWNWOOD CIR
Second Line	:	STE A
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4828
Country	:	US
Telephone Number	:	772-461-0820
Fax Number	:	772-461-0823

Provider Business Practice Location Address
First Line	:	1870 N LAWNWOOD CIR
Second Line	:	STE A
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4828
Country	:	US
Telephone Number	:	772-461-0820
Fax Number	:	772-461-0823

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

Provider Enumeration Date	:	06/02/2012
Last Update Date	:	03/17/2016

Similar Medicare Providers

1720089154 — MR. ROBERT G OHLAU SR. B.S. PHARMACY
Practice Location Address:

1860 N LAWNWOOD CIR
FORT PIERCE, FL
34950-4828

Practice Phone: 772-467-3578
Practice Fax:

1649261215 — LAWNWOOD PAVILION PHYSICIAN SERVICES LLC
Practice Location Address:

1870 N LAWNWOOD CIR
FORT PIERCE, FL
34950-4828

Practice Phone: 772-467-3948
Practice Fax: 772-467-3953

1801864434 — MR. KHAIRUL SHAHEED ALAM M.D.
Practice Location Address:

1870 N LAWNWOOD CIR , SUITE A
FORT PIERCE, FL
34950-4828

Practice Phone: 772-461-0820
Practice Fax: 772-461-0823

1174577365 — MRS. LUCILLE ANN VANDEVERE APRN, FNP-BC
Practice Location Address:

1860 N LAWNWOOD CIR
FORT PIERCE, FL
34950-4828

Practice Phone: 772-519-3005
Practice Fax:

1740211317 — LAWNWOOD REGIONAL MEDICAL CENTER
Practice Location Address:

1870 N LAWNWOOD CIR
FORT PIERCE, FL
34950-4828

Practice Phone: 772-467-3948
Practice Fax:

1720175383 — DR. JUDE DESORMEAU M.D.
Practice Location Address:

1860 N LAWNWOOD CIR
FORT PIERCE, FL
34950-4828

Practice Phone: 772-871-7800
Practice Fax: 772-871-7822

1760534614 — MS. SHELLY N. SINGH LCSW
Practice Location Address:

1870 N LAWNWOOD CIR , SUITE A - E
FORT PIERCE, FL
34950-4828

Practice Phone: 772-461-0820
Practice Fax: 772-467-0823

Directions to “ DR. JOHN J NALIYATH 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.