DR. JUSTIN ANTHONY NISTICO (NPI# 1477819951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477819951 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN ANTHONY NISTICO |
| Credential | D.O. |
| Practice Address |
3411 Wayne Ave Suite 4-h Bronx NY 10467-2509 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 9176077009 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 277019 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
277019 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3411 WAYNE AVE SUITE 4-H |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205875200 | Clarice Maala | Nurse Practitioner | 3411 Wayne Ave, Montefiore Medical Center/ Department of Hematology, Bronx, NY 10467-2509 | 2006-06-05 |
| 1447729025 | Rebecca Deluca | Physician Assistant | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2018-11-13 |
| 1679067607 | Sheneka Dalmage | Nurse Practitioner | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2018-06-22 |
| 1245755313 | Sky Lahav-vitenzon | Physician Assistant | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2017-08-09 |
| 1831543438 | Cindy Moran | Physician Assistant | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2016-04-20 |
| 1164886552 | Lauren Iacono | Student in an Organized Health Care Education/Training Program | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2016-04-12 |
| 1235523523 | Kirsten Fleming | Student in an Organized Health Care Education/Training Program | 3411 Wayne Ave, Montefiore Medical Center Division of Dermatology, Bronx, NY 10467-2509 | 2015-03-24 |
| 1912397340 | Barbara Pitera | Pediatrics | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2015-01-22 |
| 1902203292 | Deidre Edwards | Psychologist | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2014-12-02 |
| 1083025233 | Krystina Therese Mathelier | Nurse Practitioner | 3411 Wayne Ave, Bronx, NY 10467-2509 | 2014-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1144794314 | Mohammed Shofiullah Shibli | Internal Medicine | 2500 Frisby Ave Apt 24d, Bronx, NY 10461-3247 | 2019-01-21 |
| 1740781905 | Bk Medical Care P.c | Internal Medicine | 2000 Mcgraw Ave, Bronx, NY 10462-8070 | 2018-02-23 |
| 1043738586 | Diabetes Relief Center of Bronx Mso LLC | Internal Medicine | 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 | 2017-09-05 |
| 1790137388 | Sabrina Brana | Internal Medicine | 4422 Third Ave Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-07 |
| 1386096345 | Christopher James Brana | Internal Medicine | 4422 Third Ave, Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-01 |
| 1982068078 | Silvio Goris | Internal Medicine | 3400 Tibbett Ave, Apt 2f, Bronx, NY 10463-3766 | 2016-04-05 |
| 1710349816 | Rikhil S Kochhar | Internal Medicine | 3010 Grand Concourse Apt L3, Bronx, NY 10458-1534 | 2016-03-28 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.