Individual provider Active NPI

Nicole Durie Falanga, M.D.

  • Emergency Medicine Physician
  • Paramus, NJ
National Provider Identifier
1306190012
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
267374 Issued in NY
Practice address
499 N Rte 17
Paramus, NJ 07652-3001
Phone
(551) 497-5677
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 267374 NY Primary

Addresses

Primary practice location

499 N Rte 17
Paramus, NJ 07652-3001

Mailing address

1955 1St Ave
Apartment 539
New York, NY 10029-6408
Phone (917) 753-2898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130416000569 NY Practitioner - Emergency Medicine 6406092535 Reassigns benefits to 3 organizations
I20161122001279 NJ Practitioner - Emergency Medicine 6406092535 Reassigns benefits to 1 organization
I20190326001396 NY Practitioner - General Practice 6406092535 Reassigns benefits to 1 organization
Practice locations: Chestnut Ridge, NY

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Aug 26, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Aug 26, 2019 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jun 29, 2013 Accepting new patients
Harlem Medical Associates PC CurrentSince Nov 12, 2018 Accepting new patients
Rudolf Steiner Fellowship Foundation, Inc. Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800

499 N Route 17
Paramus, NJ 07652
Phone (551) 497-5677

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Interoperability endpoints

  • Direct secure messaging: nicole.falanga.1@2983.direct.athenahealth.com

Organizations & group practices 6

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1306190012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE",
            "address_2": "APARTMENT 539",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296408",
            "telephone_number": "917-753-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N RTE 17",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523001",
            "telephone_number": "551-497-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALANGA",
        "first_name": "NICOLE",
        "middle_name": "DURIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "267374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.