Individual provider Active NPI

Nicole R McAllister, ANP

  • Nurse Practitioner
  • Hasbrouck Heights, NJ
National Provider Identifier
1205916855
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
430280 Issued in NY
Practice address
27 Division Ave
Hasbrouck Heights, NJ 07604-1111
Phone
(201) 995-4445
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00086200 NJ
Nurse Practitioner 363L00000X 430280 NY Primary

Addresses

Primary practice location

27 Division Ave
Hasbrouck Heights, NJ 07604-1111

Mailing address

27 Division Ave
Hasbrouck Heights, NJ 07604-1111
Phone (201) 995-4445

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000288 NY Practitioner - Nurse Practitioner 4385730605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yoav Borsuk M.D., P.CGroup PAC ID 4587691308, 4 clinicians

Practice addresses (Care Compare)

167 Madison Ave
RM 605
New York, NY 10016-5430
Phone (212) 979-8880

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Yoav Borsuk MD PC CurrentSince Jan 11, 2020 Accepting new patients

Locations

167 Madison Ave
Rm 605
New York, NY 10016
Phone (212) 979-8880

Interoperability endpoints

  • Direct secure messaging: nicole.m@borsuk.curemd.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1205916855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DIVISION AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041111",
            "telephone_number": "201-995-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 DIVISION AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041111",
            "telephone_number": "201-995-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00086200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "430280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

Verify at the official NPI Registry.