Nicole Rose Tesoriero, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

917395 Issued in NY

Practice address

7 Carston St W
Selden, NY 11784-2318

Phone

(631) 627-4487

Fax

(631) 627-4487

NPI assigned

Jul 21, 2025

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

Other names 1

• Miss Nicole Rose Tesoriero Professional name

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1407748734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARSTON ST W",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842318",
            "telephone_number": "631-627-4487",
            "fax_number": "631-627-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CARSTON ST W",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842318",
            "telephone_number": "631-627-4487",
            "fax_number": "631-627-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIERO",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "917395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TESORIERO",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "NICOLE TESORIERO RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlton Alba Sumner, DDS
• Bryanna A Swindell, LPN
• Syed Numan LLC
• Thomas Joseph Telesca, LAC
• Mary Grace Tesalona Orozco, BSN
• Benson Thomas, PHARM.D.
• Jacques Emmanuel Thomas
• Top DME LLC
• Courtenay Trainor, RN
• Johnice Trent, LPN

• Registered Nurse in Selden, NY
• Providers in Selden, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.