ETHAN HOLDEN NYEIN MD
NPI 1386221497
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 25, 2021PECOS Enrolled
1000 10TH AVE, NEW YORK, NY 10019(212) 523-8366 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, Apr 25, 2021, Mar 25, 2021 (3 updates tracked since 2021).

About Ethan Holden Nyein Md NPPES

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

ETHAN HOLDEN NYEIN MD (NPI 1386221497) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386221497
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN HOLDEN NYEINCredential: MD
Location Address1000 10TH AVENew York, NY 10019-1147
Mailing Address1000 10th AveNew York, NY 10019-1147 · (212) 523-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateMay 20, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1386221497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 10TH AVE, New York, NY 10019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Holden Nyein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527544584
PECOS Enrollment IDI20260108003478
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Nyein's NPI number?

The NPI number for Ethan Nyein is 1386221497. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Ethan Nyein located?

Ethan Nyein practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-8366.

What is Ethan Nyein's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Nyein enrolled in Medicare?

Yes. Ethan Nyein is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Nyein was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.