Individual provider Active NPI

Nicola Joseph Nasser, MD, PHD

  • Radiation Oncology Physician
  • Bronx, NY
National Provider Identifier
1023548831
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D90228 Issued in MD
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 405-8577
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X D90228 MD Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

PO Box 64620
Baltimore, MD 21264-4620
Phone (410) 706-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200909000539 MD Practitioner - Radiation Oncology 4183042161 Reassigns benefits to 2 organizations
I20220218001846 NY Practitioner - Radiation Oncology 4183042161 Reassigns benefits to 2 organizations
I20251029002131 NC Practitioner - Radiation Oncology 4183042161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians
Johnston Radiation Oncology LLCGroup PAC ID 7012048838, 19 clinicians
Smithfield Radiation Oncology LLCGroup PAC ID 6709835846, 18 clinicians
Adventhealth Medical Group Cancer and Specialty Care LLCGroup PAC ID 0042246050, 20 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

2076 Veterans Pkwy
Suite 120
Clayton, NC 27520-8343
Phone (919) 585-8550

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486
Phone (919) 209-3555

600 Hospital Dr
Suite 10a
Clyde, NC 28721-8024
Phone (828) 452-2320

Hospital & facility affiliations

  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
287005NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Maryland Proton Treatment Center, LLC CurrentSince Sep 1, 2020 Accepting new patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Sep 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Radiation Oncology CurrentSince Aug 18, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Rex Hospital Inc Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Johnston Radiation Oncology LLC Radiation Oncology CurrentSince Sep 18, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Albany Medical College CurrentSince Feb 1, 2022 Accepting new patients
Smithfield Radiation Oncology, LLC Radiation Oncology CurrentSince Sep 18, 2025 Accepting new patients
Albany Medical College CurrentSince Feb 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Albany Medical College CurrentSince Feb 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Sep 18, 2025 Accepting new patients
Park Ophthalmology Past Accepting new patients
Yonkers Radiation Medical Practice, PC Radiation Oncology Past Accepting new patients
Radiation Therapy Associates of Western North Carolina PA Past Accepting new patients
Adventhealth Medical Group Cancer and Specialty Care LLC Radiation Oncology PastSince Mar 30, 2026 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

219 S Washington St
Easton, MD 21601

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

2901 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 784-3018

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nnasser700888@direct.hopkinsmedicine.org
  • Direct secure messaging: nnasser1670463@nychhc.direct-ci.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1023548831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64620",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644620",
            "telephone_number": "410-706-4919",
            "fax_number": "410-706-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-405-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "NICOLA",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D90228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.