Active NPI
Nicole Puidokas, NP
- Family Nurse Practitioner
- New Hyde Park, NY
National Provider Identifier
1255016945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 351930
- Practice address
- 1111 Marcus Ave
New Hyde Park, NY 11042-1221 - Phone
- (516) 224-2800
- NPI assigned
- Jun 20, 2023
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 351930 | NY | Primary |
Addresses
Primary practice location
1111 Marcus Ave
New Hyde Park, NY 11042-1221
Mailing address
278 N Oak St
Massapequa, NY 11758-3126
Phone (516) 301-6886
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351930 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethpage Medical, PLLC | Past | Accepting new patients | |
| Zwanger & Pesiri Radiology Group, LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1255016945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 N OAK ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117583126",
"telephone_number": "516-301-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421221",
"telephone_number": "516-224-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUIDOKAS",
"first_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "351930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.