Organization Active NPI

Nicki Spice, Inc.

  • Prosthetic/Orthotic Supplier
  • Brooklyn, NY
National Provider Identifier
1437647211
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NICKI SPICE, INC.
Practice address
914 Bedford Ave
Brooklyn, NY 11205-5632
Phone
(347) 927-1172
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Nicole Jones
Title
President
Phone
(347) 927-1172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

914 Bedford Ave
Brooklyn, NY 11205-5632

Mailing address

914 Bedford Ave
Brooklyn, NY 11205-5632
Phone (347) 927-1172

National Provider Directory

National Provider Directory
Tax ID family
Nicki Spice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1437647211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055632",
            "telephone_number": "347-927-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055632",
            "telephone_number": "347-927-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKI SPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-927-1172"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.