Individual provider Active NPI

Juliana Grace Nikolich, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1245919018
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027455 Issued in IL
Practice address
53 Columbus Ave Ste 4
New York, NY 10023-6909
Phone
(212) 541-8450
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.027455 IL Primary

Addresses

Primary practice location

53 Columbus Ave Ste 4
New York, NY 10023-6909

Mailing address

400 Central Park W Apt 1M
New York, NY 10025-5821
Phone (847) 804-8403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921002693 NY Practitioner - Physical Therapist in Private Practice 6204280423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Marika Molnar Physical Therapist PCGroup PAC ID 4688646847, 9 clinicians

Practice addresses (Care Compare)

53 Columbus Ave
Suite 4
New York, NY 10023-6909
Phone (212) 541-8450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.027455ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marika Molnar Physical Therapist PC CurrentSince Jul 29, 2023 Accepting new patients

Locations

53 Columbus Ave
Ste 4
New York, NY 10023
Phone (212) 541-8450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1245919018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL PARK W APT 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255821",
            "telephone_number": "847-804-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COLUMBUS AVE STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236909",
            "telephone_number": "212-541-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLICH",
        "first_name": "JULIANA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.