Active NPI
Nicolle Finn, PA-C
- Physician Assistant
- Long Island City, NY
National Provider Identifier
1376026948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2701 Queens PLZ N FL 10
Long Island City, NY 11101-4022 - Phone
- (203) 996-6379
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2701 Queens PLZ N FL 10
Long Island City, NY 11101-4022
Mailing address
21 W 19TH St
New York, NY 10011-4208
Phone (646) 665-3632
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022726 | NY | MD | Clinical Psychologist |
Interoperability endpoints
- nicolle.finn.1@24989.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1376026948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W 19TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114208",
"telephone_number": "646-665-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 QUEENS PLZ N FL 10",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014022",
"telephone_number": "203-996-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINN",
"first_name": "NICOLLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.