Nicole Marmol

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

344786 Issued in NY

Practice address

22 Grand Ave
Port Jefferson Station, NY 11776-1408

Phone

(631) 394-6084

NPI assigned

Mar 8, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1306645841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GRAND AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761408",
            "telephone_number": "631-394-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GRAND AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761408",
            "telephone_number": "631-394-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "344786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Mariano
• Kathleen Ann Marinelli, M.S., SLP ,CCC-SP
• Danielle Marino IX
• Mark Lowenheim, MD PLLC
• Sheri Lynn Markey, RN
• Kathleen Marose, OTR/L
• Martha Patricia Aponte Doctor of Podiatric Medicine PC
• Helen Catherine Martinetti, M.A.,C.C.C.
• John Alan Martinetti, AU.D. CCC
• Ashley Martinez

• Licensed Practical Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.