Nicole Leslie Pankin

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

6143 186TH St
Fresh Meadows, NY 11365-2710

Phone

(929) 200-7105

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1043859879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W 171ST ST APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323130",
            "telephone_number": "646-599-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 186TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "929-200-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKIN",
        "first_name": "NICOLE",
        "middle_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiao Yu Pan
• Panacea Medical Services, P.C.
• Neema Nitin Panchal, MOTR/L
• Avi K Pandey, M.D.
• Yiu Chung Pang, DDS
• Joanne Paoli
• Maria Papadopoulos, PT
• Alexandra Papamichael
• Vanessa Biomaris Paradis
• Melissa Paraison, RDMS, RCDS, MPH

• Specialist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.