NICOLE NICOME (NPI# 1811171515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811171515 |
| Entity Type | Individual |
| Full Name | NICOLE NICOME |
| Credential | MD |
| Practice Address |
650 Fulton St Brooklyn NY 11217-1517 |
| Mailing Address |
7580 Springbox Dr Suite 250 Fairburn GA 30213-1287 |
| Practice Telephone | 7185969800 |
| Practice Fax Number | 7185969889 |
| Mailing Telephone | 7703064457 |
| Mailing Fax Number | 7707747218 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 285393 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 060133 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 060133 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 950906828H | 05 | |
| NY | 04528910 | 05 | |
| NY | DEA | FN6152247 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7580 Springbox Drive, Suite 250, Fairburn, GA 30213 | 7703064457 | 7707747218 |
| Street Address |
650 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113398 | Brooklyn Plaza Medical Center, Inc. | Clinic/Center | 650 Fulton St, Brooklyn, NY 11217-1517 | 2006-02-15 |
| 1992367452 | Migdalia Hernandez | Counselor | 650 Fulton St, Brooklyn, NY 11217-1517 | 2019-07-05 |
| 1154985745 | Samantha Smith | Counselor | 650 Fulton St, Brooklyn, NY 11217-1517 | 2019-04-29 |
| 1669900239 | Leslie J Jackson | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-05-26 |
| 1447791132 | Brooklyn Plaza Medical Center | Clinic/Center | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-03-14 |
| 1225484355 | Reham A Dabiesh | Dentist | 650 Fulton St, Brooklyn, NY 11217-1517 | 2016-05-07 |
| 1417318411 | Jacqueline Pierre | Dentist | 650 Fulton St, Brooklyn, NY 11217-1517 | 2016-03-17 |
| 1366830242 | Brooklyn Plaza Medical Center, Inc | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-12-31 |
| 1205241155 | Nan-tsun Lai | Pediatrics | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-06-29 |
| 1952724866 | Bair Cadet | Internal Medicine | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1790254084 | Jessica Levy | Social Worker | 2-4 Nevins St., Brooklyn, NY 11217 | 2018-11-16 |
| 1700353638 | Karen Gibbons | Art Therapist | 280 Nevins St., Brooklyn, NY 11217 | 2018-10-29 |
| 1396227740 | Tanvi Dodia Acupuncture Pllc | Acupuncturist | 694 Sackett Street Apt 2, Brooklyn, NY 11217 | 2018-09-02 |
| 1437680873 | Cynthia Cater | Licensed Practical Nurse | 30 3rd Avenue Apt. 847, Brooklyn, NY 11217 | 2017-03-27 |
| 1427596857 | Edg Dental PC | Dentist | 31 Eighth Avenue,suite #1, Brooklyn, NY 11217 | 2017-02-06 |
| 1437506284 | Alternative Optometry for Vision Development P.C. | Optometrist | 40 8th Avenue, Brooklyn, NY 11217 | 2016-05-23 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1831579341 | Christine Lynn Viner | Student in an Organized Health Care Education/Training Program | 63a 7th Ave, Brooklyn, NY 11217 | 2015-06-01 |
| Find all providers in zip 11217 | ||||
| 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 |
|---|---|---|---|---|
| 1669099115 | East New York Medical Healthcare PC | Internal Medicine | 2673 Atlantic Ave, Brooklyn, NY 11207-2801 | 2020-07-01 |
| 1083242978 | Quratulain Nasir | Internal Medicine | 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 | 2020-03-28 |
| 1831723725 | Pitkin Medical Office P.C. | Internal Medicine | 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 | 2020-02-28 |
| 1083246920 | Dora Johnson | Internal Medicine | 374 Stockholm St # B, Brooklyn, NY 11237-4006 | 2020-02-09 |
| 1245876143 | Richard Casseus | Internal Medicine | 6525 Avenue N, Brooklyn, NY 11234-5622 | 2019-11-26 |
| 1598309569 | Md Care Now P.C. | Internal Medicine | 1849 Utica Ave, Brooklyn, NY 11234-2122 | 2019-11-03 |
| 1609410968 | Zaki Nakach, Md PC | Internal Medicine | 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 | 2019-10-30 |
| 1881158897 | Yuanli Xie Medical PC | Internal Medicine | 749 61st St Ste 403, Brooklyn, NY 11220-5163 | 2019-01-23 |
| 1689146417 | Frederik Peter Lindberg | Internal Medicine | 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 | 2018-12-18 |
| 1598233033 | Greenfield Medical | Internal Medicine | 1716 E 28th St, Brooklyn, NY 11229-2513 | 2018-11-02 |
| Find all providers in BROOKLYN | ||||
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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.