Aryel Nicoleau, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

141741 Issued in NY

Practice address

9204 Springfield Boulevard
Queens Village, NY 11428

Phone

(718) 465-3040

Fax

(718) 464-9063

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
• Vnsny Hospice and Palliative Care Hospice, New York, NY, CCN 331519
• Hospice Care of Long Island, Queens, South Shore Hospice, Woodbury, NY, CCN 331532

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: aryel.nicoleau.1@16227.direct.athenahealth.com

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.

• Queens Village Primary Medical Care, PLLC

  • Primary Care Clinic/Center
  • Queens Village, NY
  • NPI 1164614590
  Medicare reassignment Authorized official
• Vytaliz Medical

  • Internal Medicine Physician
  • New City, NY
  • NPI 1568831105
  NPD
• CMC Housestaff

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1063572212
  NPD (past)
• Punam Prabhakar MD PC

  • Neurology Physician
  • Greenvale, NY
  • NPI 1114432226
  NPD (past)

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

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Hospice Care Network

  • Community Based Hospice Care Agency
  • Woodbury, NY
  • NPI 1013972751
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Manhasset, NY
  • NPI 1417965278
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471
  Care Compare affiliation
• Visiting Nurse Service of New York Home Care II

  • Home Health Agency
  • New York, NY
  • NPI 1528059805
  Care Compare affiliation
• Visiting Nurse Service of New York Hospice Care

  • Community Based Hospice Care Agency
  • New York, NY
  • NPI 1215928510
  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1093880957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 SPRINGFIELD BOULEVARD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "718-465-3040",
            "fax_number": "718-464-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 SPRINGFIELD BOULEVARD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "718-465-3040",
            "fax_number": "718-464-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLEAU",
        "first_name": "ARYEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "141741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00587146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Tamara Nicholas, M.A.
• Colleen Nicholls Zarinsky
• Saskia Nicholls
• Karen Maria Nicholson, OCCUPATIONAL THERAPY
• Joseph Jean Nicolas, M.D.
• Barbara Georgia Nictas, LCSW
• Tova Nissenbaum
• Magdaline Woyisungazi Nji, LPN
• Anthonia Nnadi
• Henrietta Nwamaka Nnadi

• Internal Medicine Physician in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.