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

Dr. Nicholas Spartan Santavicca, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124313374

Dr. Nicholas Spartan Santavicca, MD is an Emergency Medicine in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 2011, 15 years ago. Practices with East Post Road Medical Services PC, a 415-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2011
Specialties on file
2
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

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 S Greene St, Baltimore, MD 21201-1544 — (410) 328-8025

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 288543 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124313374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2011 (15 years in practice)
Group practice East Post Road Medical Services Pc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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