Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Johnathan Lee Nieves, MD

Individual provider Emergency Medicine Physician · NPI 1275039067

Dr. Johnathan Lee Nieves, MD is an Emergency Medicine in Farmington, Connecticut. Qualified in 2018, 8 years ago. Practices with State of Connecticut, a 267-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 67330 (CT)

Record details

NPI number1275039067
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Connecticut — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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