Nicholas William Fullone

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

812388 Issued in NY

Practice address

1 South Ave
Garden City, NY 11530-4213

Phone

(800) 233-5744

NPI assigned

Apr 8, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1114507746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ACKERLY LN",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794549",
            "telephone_number": "631-375-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304213",
            "telephone_number": "800-233-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLONE",
        "first_name": "NICHOLAS",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "812388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Frisco
• Susan Frommann, LCSW
• Nicholas George Frosos, PT, DPT
• Jairo Fuertes
• Joy Fullhardt, LCSW
• Tina K Funt, M.D.
• Pamela Ann Furcht, LCSW
• Morey Furman, DDS
• G S Gill MD PC
• G S Gill, MD PC

• Registered Nurse in Garden City, NY
• Providers in Garden City, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.