Active NPI
Candace Nicoleau, NP
- Adult Health Nurse Practitioner
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 309270
- Practice address
- 2570 Hempstead Tpke Unit 2
East Meadow, NY 11554-2146 - Phone
- (516) 548-0600
- Fax
- (516) 548-0605
- NPI assigned
- Jul 15, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309270 | NY | Primary |
Addresses
Primary practice location
2570 Hempstead Tpke Unit 2
East Meadow, NY 11554-2146
Mailing address
2570 Hempstead Tpke Unit 2
East Meadow, NY 11554-2146
Phone (516) 548-0600
Other practice location 1
9204 Springfield Blvd
Queens Village, NY 11428-1857
Phone (718) 465-3040 ext. 121
Other practice location 2
20507 Hillside Ave Ste 10
Hollis, NY 11423-2220
Phone (718) 464-5780 ext. 121
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309270 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Totally Well LLC | Adult Health | Current | Accepting new patients |
| Queens Village Primary Medical Care, PLLC | Past | Accepting new patients |
Locations
2570 Hempstead Tpke
Unit 2
East Meadow, NY 11554
Phone (516) 548-0600
9204 Springfield Blvd
Queens Vlg, NY 11428
Phone (718) 464-5780
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Adult Health Nurse Practitioner
- East Meadow, NY
- NPI 1851075345
-
- Primary Care Clinic/Center
- Queens Village, NY
- NPI 1164614590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1487206991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 HEMPSTEAD TPKE UNIT 2",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542146",
"telephone_number": "516-548-0600",
"fax_number": "844-689-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 HEMPSTEAD TPKE UNIT 2",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542146",
"telephone_number": "516-548-0600",
"fax_number": "516-548-0605"
}
],
"practiceLocations": [
{
"address_1": "9204 Springfield Blvd",
"address_purpose": "LOCATION",
"city": "Queens Village",
"state": "NY",
"postal_code": "114281857",
"country_code": "US",
"telephone_number": "718-465-3040 x121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20507 Hillside Ave Ste 10",
"address_purpose": "LOCATION",
"city": "Hollis",
"state": "NY",
"postal_code": "114232220",
"country_code": "US",
"telephone_number": "718-464-5780 x121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOLEAU",
"first_name": "CANDACE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "309270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.