Individual provider Active NPI

Nudrat Bisciello, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1306253851
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401740 Issued in NY
Practice address
303 5TH Ave RM 1210
New York, NY 10016-6648
Phone
(212) 868-5550
Fax
(212) 867-6280
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401740 NY Primary

Addresses

Primary practice location

303 5TH Ave RM 1210
New York, NY 10016-6648

Mailing address

303 5TH Ave RM 1210
New York, NY 10016-6648
Phone (212) 868-5550

Other practice location 1

315 Madison Ave
Suite 1505
New York, NY 10017-5405
Phone (212) 867-6280

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

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1306253851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166648",
            "telephone_number": "212-868-5550",
            "fax_number": "212-867-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166648",
            "telephone_number": "212-868-5550",
            "fax_number": "212-867-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Madison Ave",
            "address_2": "Suite 1505",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175405",
            "country_code": "US",
            "telephone_number": "212-867-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISCIELLO",
        "first_name": "NUDRAT",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.