Provider Demographics
NPI:1114760899
Name:PARIKH, NIVED NISHITH
Entity type:Individual
Prefix:
First Name:NIVED
Middle Name:NISHITH
Last Name:PARIKH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SAINT NICHOLAS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-6566
Mailing Address - Country:US
Mailing Address - Phone:929-296-6790
Mailing Address - Fax:929-300-0280
Practice Address - Street 1:4902 QUEENS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4445
Practice Address - Country:US
Practice Address - Phone:929-296-6790
Practice Address - Fax:929-300-0280
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07136800104100000X
NY123679104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker