Active NPI
Daniel Jules Nicoll, MD
- Internal Medicine Physician
- Plainview, NY
National Provider Identifier
1235130196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 116426
- Practice address
- 4 Bayview Dr
Plainview, NY 11803-1534 - Phone
- (516) 367-3308
- Fax
- (516) 367-3309
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 116426 | NY | Primary |
| Internal Medicine Physician | 207R00000X | MA07048200 | NJ | |
| Internal Medicine Physician | 207R00000X | 040695 | CT | |
| Internal Medicine Physician | 207R00000X | MD424333 | PA | |
| Internal Medicine Physician | 207R00000X | C1 0007322 | DE | |
| Internal Medicine Physician | 207R00000X | G80040 | CA |
Addresses
Primary practice location
4 Bayview Dr
Plainview, NY 11803-1534
Mailing address
4 Bayview Dr
Plainview, NY 11803-1534
Phone (516) 367-3308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80040 | CA | MD | Internal Medicine Physician |
| 040695 | CT | MD | Internal Medicine Physician |
| C1 0007322 | DE | MD | Internal Medicine Physician |
| MA07048200 | NJ | MD | Internal Medicine Physician |
| 116426 | NY | MD | Internal Medicine Physician |
| MD424333 | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235130196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BAYVIEW DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031534",
"telephone_number": "516-367-3308",
"fax_number": "516-367-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BAYVIEW DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031534",
"telephone_number": "516-367-3308",
"fax_number": "516-367-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLL",
"first_name": "DANIEL",
"middle_name": "JULES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "116426",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA07048200",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "040695",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD424333",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1 0007322",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G80040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.