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

Individual provider Family Medicine Physician · NPI 1548422942

Dr. Nichele Nivens, MD is a Family Practice in Bronx, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2005, 21 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2008
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

1276 Fulton Ave Dept OF Family Medicine
Bronx, NY 10456-3402
Phone: (718) 590-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 248970 (NY)

Record details

NPI number1548422942
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESMay 29, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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