Provider Demographics
NPI:1922075068
Name:NIEVES, DAVID STEINER (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:STEINER
Last Name:NIEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ONE MILE RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520
Mailing Address - Country:US
Mailing Address - Phone:609-443-4500
Mailing Address - Fax:609-443-4808
Practice Address - Street 1:59 ONE MILE RD
Practice Address - Street 2:STE G
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520
Practice Address - Country:US
Practice Address - Phone:609-443-4500
Practice Address - Fax:609-443-4808
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07590300207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7495901Medicaid
NJ7495901Medicaid
H84873Medicare UPIN