DR. NILES DRAKE (MD) – Psychiatry Physician, NPI 1194985507

DR. NILES DRAKE (MD) is a healthcare provider. based in Marlton, New Jersey. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 252882 (NY). The NPI Number for DR. NILES DRAKE (MD) is 1194985507

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. NILES DRAKE (MD)
NPI
1194985507
Phone
(833) 351-8255
Address
525 Route 73 N Ste 117
Enumeration Date
10 June 2008
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
2005 (21 years ago)
PAC ID
4981867512
Group Practice PAC ID
8921452350
Professional Enrollment ID
I20241015000301
Address ID
NJ080533422MA525XXNXXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,050 PSYCHIATRY in NJ

Provider Addresses for DR. NILES DRAKE (MD)

  • 525 Route 73 N Ste 117

    Marlton, NJ 080533422

    Phone: (833) 351-8255

    Type: Location

  • 109 W 27th St Ste 5S

    New York, NY 100010265

    Phone: (833) 351-8255

    Type: Location

  • The Westmore, 333, West 57th Street, Hell's Kitchen, Manhattan Community Board 4, Manhattan, New York County, New York, 10019, United States

    APT 3E

    NEW YORK, NY 100193159

    Phone: (713) 456-9039

    Fax: (646) 360-1997

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241015000301IPsychiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08053)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921452350View full group profile
NameSpecialtyState
P S Y C H I A T R YNY
P S Y C H I A T R YNY
P S Y C H I A T R YCT
P S Y C H I A T R YNJ
Clinical Social WorkerNJ
Clinical Social WorkerNY
P S Y C H I A T R YNY
P S Y C H I A T R YNJ
P S Y C H I A T R YNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NILES DRAKE (MD)?
DR. NILES DRAKE (MD) — NPI 1194985507 — is the standard way to identify this listing.
Is DR. NILES DRAKE (MD) listed as active for patients and plans?
The listing shows DR. NILES DRAKE (MD) as active in the NPI system.
What taxonomy line describes DR. NILES DRAKE (MD)?
For research purposes, treat DR. NILES DRAKE (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NILES DRAKE (MD)?
DR. NILES DRAKE (MD)'s geographic hint is Marlton, New Jersey in our summary view.
Why does DR. NILES DRAKE (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.