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

Jeremy Nathaniel

Individual provider Emergency Medicine Physician · NPI 1427402221

Jeremy Nathaniel is an Emergency Medicine in New York, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2016, 10 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
IN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147
Phone: (212) 523-4000
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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 01081739A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427402221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2016
Last updated in NPPESJune 18, 2019

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2016 (10 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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