Provider Demographics
NPI:1124034400
Name:NIVERA, NOEL T (MD)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:T
Last Name:NIVERA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 INDUSTRIAL WAY WEST
Mailing Address - Street 2:STE B HYPERTENSION & NEPHROLOGY ASSOC
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724
Mailing Address - Country:US
Mailing Address - Phone:732-460-1200
Mailing Address - Fax:732-460-1211
Practice Address - Street 1:6 INDUSTRIAL WAY WEST
Practice Address - Street 2:STE B HYPERTENSION & NEPHROLOGY ASSOC
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724
Practice Address - Country:US
Practice Address - Phone:732-460-1200
Practice Address - Fax:732-460-1211
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-05-22
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Provider Licenses
StateLicense IDTaxonomies
NJMA68739207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0980439Medicaid
NJ7892306Medicaid
G88234Medicare UPIN