Individual provider Active NPI

Maria Nikolaidou, NP

  • Adult Health Nurse Practitioner
  • Lindenhurst, NY
National Provider Identifier
1275788549
Registry record updated Nov 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302236-1 Issued in NY
Practice address
567 N Clinton Ave
Lindenhurst, NY 11757-3408
Phone
(631) 592-8184
NPI assigned
Nov 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302236-1 NY Primary

Addresses

Primary practice location

567 N Clinton Ave
Lindenhurst, NY 11757-3408

Mailing address

567 N Clinton Ave
Lindenhurst, NY 11757-3408
Phone (631) 592-8184

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F302236-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Garelick DDS PC Past Accepting new patients

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": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227916800000",
    "number": "1275788549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N CLINTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573408",
            "telephone_number": "631-592-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N CLINTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573408",
            "telephone_number": "631-592-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLAIDOU",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-29",
        "last_updated": "2008-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302236-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.