Nicole Barrett

Key facts

NPI

1104744366

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

Practice address

225 Eastview Dr
Central Islip, NY 11722-4539

Phone

(631) 665-1600

NPI assigned

Jul 7, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2026.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1104744366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SMITH ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631528",
            "telephone_number": "516-316-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EASTVIEW DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224539",
            "telephone_number": "631-665-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Central Islip, NY · Physician Assistant in New York