Victor Nikolsky, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

71777 Issued in GA

Practice address

385 S Shore Rd
Northville, NY 12134-5917

Phone

(518) 883-8585

NPI assigned

Jul 15, 2008

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1053575480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S HAIRSTON RD STE 28",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882719",
            "telephone_number": "404-292-9034",
            "fax_number": "404-292-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S SHORE RD",
            "city": "NORTHVILLE",
            "state": "NY",
            "postal_code": "121345917",
            "telephone_number": "518-883-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLSKY",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "71777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna A Halloran, PT
• Karen Bernice McComb, RPH
• Kristen McComb
• Thomas J Milko, DDS
• Frederick R Myers, NONE
• Northville Central School District
• Joan Victoria Rimkunas, RPH
• Rite Aid of New York Inc (Rite Aid Pharmacy 03524)
• St. Mary's Healthcare
• Erica Lynn Tomlinson, DPT

• Family Medicine Physician in Northville, NY
• Providers in Northville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.