Nicole Stevens Santiago

Primary specialty

SpecialistTaxonomy code 174400000X

License

426166 Issued in NY

Practice address

646 Saint Marks Ave
Brooklyn, NY 11216-3605

Phone

(646) 358-7331

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Santiago Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicole Santiago, LLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1245049733
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1285330654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SAINT MARKS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163605",
            "telephone_number": "646-358-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 SAINT MARKS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163605",
            "telephone_number": "646-358-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS SANTIAGO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "426166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SANTIAGO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven P. Saltzman DDS
• Steven Reich D.D.S.P.C.
• Steven Rudolph, M.D.
• Steven S. Moalemi, MD, P. C.
• Steven Soued MD PC
• Akanksha Rachel Stevens
• Ariel C Stevens, LMSW
• Bartley Stevens
• Candise Stevens
• Carly Sheftell Stevens, OD

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.