Active NPI
Jicenis G Pincay, MS, RDN, CDCES
- Registered Dietitian
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2000 N Village Ave
Rockville Centre, NY 11570-1078 - Phone
- (516) 705-2177
- NPI assigned
- Jun 29, 2021
- Last updated
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
2000 N Village Ave
Rockville Centre, NY 11570-1078
Mailing address
8606 86TH Ave
Woodhaven, NY 11421-1258
Other names 1
- Mrs. Jicenis G Gonzalez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011544 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
865 Northern Blvd
Ste 205
Great Neck, NY 11021
Phone (516) 622-5155
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M10C
New Hyde Park, NY 11042
Phone (516) 266-3500
4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545
10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Roslyn, NY
- NPI 1881825701
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1174193395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8606 86TH AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701078",
"telephone_number": "516-705-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCAY",
"first_name": "JICENIS",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "MS, RDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JICENIS",
"last_name": "GONZALEZ",
"middle_name": "G",
"prefix": "MRS.",
"credential": "MS, RDN, CDCES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.