Nicole Marie Misiti

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

176 Burbank Ave
Staten Island, NY 10306-3016

Phone

(718) 667-7954

NPI assigned

Aug 23, 2013

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1407280712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BURBANK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063016",
            "telephone_number": "718-667-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BURBANK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063016",
            "telephone_number": "718-667-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISITI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Mironova, LMSW
• Marina Mironova, NP
• Jan Misaylidi, PT, DPT
• Marissa Ashley Miscione
• Dina Mishiyeva, PA-C
• Susan Miskin, SP ED/ MS
• Esther Misrahi Elting, MSOTR/L
• Christopher Missak, D.O.
• Brittany Anne Misseri
• Mission of the Immaculate

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.