Individual provider Active NPI

Nicole Livescu, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1003457094
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345087 Issued in NY
Practice address
35 W 45TH St FL 6
New York, NY 10036-4903
Phone
(212) 400-8384
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345087 NY Primary

Addresses

Primary practice location

35 W 45TH St FL 6
New York, NY 10036-4903

Mailing address

4739 40TH St Apt 4D
Sunnyside, NY 11104-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105004287 NY Practitioner - Nurse Practitioner 5092205336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345087NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Oncology Associates PLLC Dba American Infusion Center CurrentSince Aug 25, 2025 Accepting new patients

Locations

35 W 45th St
New York, NY 10036

35 W 45th St
Fl 6
New York, NY 10036
Phone (212) 400-8384

1751 York Ave
New York, NY 10128
Phone (212) 369-2490

Interoperability endpoints

  • Direct secure messaging: nicole.livescu@5356752535556.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1003457094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 40TH ST APT 4D",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111044036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 45TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364903",
            "telephone_number": "212-400-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVESCU",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.