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NIENTARA ANDERSON MD
NPI 1912528670
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since May 04, 2020PECOS Enrolled
300 GEORGE ST STE 901, NEW HAVEN, CT 06511(203) 785-2095 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nientara Anderson Md NPPES

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

NIENTARA ANDERSON MD (NPI 1912528670) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912528670
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIENTARA ANDERSONCredential: MD
Location Address300 GEORGE ST STE 901New Haven, CT 06511-6662
Mailing Address300 George St Ste 901New Haven, CT 06511-6662 · (203) 785-2095
Phone(203) 785-2095
Sole ProprietorYes
Enumeration DateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1912528670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

300 GEORGE ST STE 901, New Haven, CT 06511
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nientara Anderson 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.

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.

MARINA NAKIC MD, PHD
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (202) 441-6780
DR. NABYL TEJANI
Student in an Organized Health Care Education/Training Program
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095
BENJAMIN KELMENDI M.D.
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095
MATTHEW GAMBINO
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (217) 898-1650
BRANDON YARNS MD
Psychiatry & Neurology (Geriatric Psychiatry)
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095
JAVIER BALLESTER GONZALEZ MD
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST STE 901, YALE UNIVERSITY
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 932-5711
EDEN ALMASUDE MD
Student in an Organized Health Care Education/Training Program
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095
MARCO RAMOS
Student in an Organized Health Care Education/Training Program
300 GEORGE ST STE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095

Frequently Asked Questions

What is Nientara Anderson's NPI number?

The NPI number assigned to this healthcare provider is 1912528670, enumerated as an "individual" on May 04, 2020.

Where is the provider located?

The provider is located at 300 GEORGE ST STE 901 NEW HAVEN, CT 06511 and the phone number is (203) 785-2095.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.