Individual provider Active NPI

Nicole Marcell Astill, M.D.

  • Gynecology Physician
  • Bronx, NY
National Provider Identifier
1295993822
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
256925 Issued in NY
Practice address
234 E 149TH St
Dept of OB/GYN - Suite 5-18
Bronx, NY 10451-5504
Phone
(718) 579-5830
Fax
(718) 579-4699
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 256925 NY
Gynecology Physician 207VG0400X 256925 NY Primary

Addresses

Primary practice location

234 E 149TH St
Dept of OB/GYN - Suite 5-18
Bronx, NY 10451-5504

Mailing address

234 E 149TH St
Dept of OB/GYN - Suite 5-18
Bronx, NY 10451-5504
Phone (718) 579-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121011000839 NY Practitioner - Obstetrics/Gynecology 3375792179 Reassigns benefits to 1 organization
I20200409001682 NJ Practitioner - Obstetrics/Gynecology 3375792179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Bronx Medical Associates PC CurrentSince Aug 2, 2012 Accepting new patients
Valley Physician Services PC CurrentSince Apr 20, 2020 Accepting new patients

Locations

140 E Ridgewood Ave
Ste 320N
Paramus, NJ 07652

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1200 E Ridgewood Ave
Ste 308
Ridgewood, NJ 07450
Phone (201) 389-0104

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

Interoperability endpoints

  • Direct secure messaging: nicole.astill.1@5622.direct.athenahealth.com
  • Direct secure messaging: nastill840115@nychhc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1295993822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "address_2": "DEPT OF OB/GYN - SUITE 5-18",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5830",
            "fax_number": "718-579-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "address_2": "DEPT OF OB/GYN - SUITE 5-18",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5830",
            "fax_number": "718-579-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTILL",
        "first_name": "NICOLE",
        "middle_name": "MARCELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "256925",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "256925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.