NIENKE PRINS DOSA MD
NPI 1063435774
Pediatrics - Neurodevelopmental Disabilities in Syracuse, NY

Q: What is Nienke Dosa's NPI number?

The NPI number for Nienke Dosa is 1063435774. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Nienke Dosa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Q: When was this NPI record last updated?

The NPPES record for Nienke Dosa was last updated on September 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2006PECOS Enrolled

725 IRVING AVE, CROUSE POB, SYRACUSE, NY 13210(315) 464-4842(315) 464-7564 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nienke Prins Dosa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIENKE PRINS DOSA MD (NPI 1063435774) is an individual neurodevelopmental disabilities provider in Syracuse, New York, licensed in New York (205943) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063435774

Entity TypeIndividualFemale

Primary Taxonomy2080P0008X

Provider Legal NameNIENKE PRINS DOSACredential: MD

Location Address725 IRVING AVE, CROUSE POBSyracuse, NY 13210-1603

Mailing Address725 Irving Ave, Crouse PobSyracuse, NY 13210-1603 · (315) 464-4842 · Fax (315) 464-7564

Phone(315) 464-4842

Fax(315) 464-7564

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateSeptember 14, 2012

✔ NPI 1063435774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0008X

License✔ Licensed in NY · 205943

Definition

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

725 IRVING AVE, Syracuse, NY 13210

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Other Identifiers 3

Medicare PINJ400009704NY

Medicare UPINH56613NY

Medicaid02242377NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nienke Prins Dosa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.