Individual provider Active NPI

Nicholas Fuca

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1447605340
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
309782 Issued in NY
Practice address
960 40TH St
Brooklyn, NY 11219-1518
Phone
(718) 369-1444
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 309782 NY Primary

Addresses

Primary practice location

960 40TH St
Brooklyn, NY 11219-1518

Mailing address

PO Box 416173
Boston, MA 02241-6173

Other practice location 1

1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000

Other practice location 2

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-4000

Other practice location 3

First Avenue at 16TH Street
New York, NY 10003-0000
Phone (212) 420-4117

Other practice location 4

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 987-7208

Other practice location 5

960 40th St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Other practice location 6

1050 Galloping Hill Rd Ste 102
Union, NJ 07083-7980
Phone (908) 686-1350

Other practice location 7

1050 Galloping Hill Rd Ste 102
Union, NJ 07083-7980
Phone (908) 686-1350

Other identifiers 1

IdentifierTypeStateIssuer
25MA11243800OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220203000860 NY Practitioner - Nephrology 2264777952 Reassigns benefits to 2 organizations
I20240129002705 NJ Practitioner - Nephrology 2264777952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

1050 Galloping Hill Rd
Suite 102
Union, NJ 07083-7980
Phone (908) 686-1350

960 40TH St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Nephrology CurrentSince Feb 1, 2022 Accepting new patients
American Access Care Physician PLLC CurrentSince Jul 1, 2022 Accepting new patients
New Jersey Interventional Associates, LLC CurrentSince Mar 1, 2024 Accepting new patients
Renal Focus ASC LLC CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2022 Accepting new patients
New Jersey Interventional Associates LLC PastSince May 10, 2020 Accepting new patients

Locations

1050 Galloping Hill Rd
Ste 102
Union, NJ 07083
Phone (908) 686-0123

1050 Galloping Hill Rd
Ste 206
Union, NJ 07083
Phone (906) 686-1350

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

35 E 110th St
Fl 3
New York, NY 10029
Phone (212) 426-3469

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

35 E 110th St
#2
New York, NY 10029
Phone (212) 427-9895

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nicholas.fuca.p24@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p211@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p30@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p37@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p57@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p59@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p33@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p34@direct.aac.nextgenshare.com
  • Direct secure messaging: nicholas.fuca.p31@direct.aac.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1447605340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191518",
            "telephone_number": "718-369-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251716",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "FIRST AVENUE AT 16TH STREET",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100030000",
            "country_code": "US",
            "telephone_number": "212-420-4117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-987-7208",
            "fax_number": "212-987-0389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 40th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191518",
            "country_code": "US",
            "telephone_number": "718-369-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Galloping Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837980",
            "country_code": "US",
            "telephone_number": "908-686-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Galloping Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837980",
            "country_code": "US",
            "telephone_number": "908-686-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCA",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "309782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA11243800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.