Nicole Tessa Wizel, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

17660 Union Tpke
Suite 360
Fresh Meadows, NY 11366-1526

Phone

(718) 460-2300

NPI assigned

Aug 28, 2015

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercy College, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Medicare enrollment (NPD)

Enrolled

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.

• Medical Care of Queens, PC

  • Hematology & Oncology Physician
  • Fresh Meadows, NY
  • NPI 1225683840
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1497122170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "SUITE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "718-460-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "SUITE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "718-460-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZEL",
        "first_name": "NICOLE",
        "middle_name": "TESSA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Williams
• Davida Williams, LMT
• Sharlene Willock, FNP, PMHNP
• Winrx Pharm Inc.
• Erika Witt, MA,CCC-SLP
• Judean Woelfle, CFLE
• Kelly Wojciechowski
• Womens Cancer Care of New York PC
• Ho Won, DPT
• Emily Cheuk Yin Wong, PT, DPT, OCS

• Medical Physician Assistant in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.