Individual provider Active NPI

Nicholas James Porretta

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1497512354
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353786 Issued in NY
Practice address
145 E 125TH St
New York, NY 10035-1714
Phone
(718) 277-0386
NPI assigned
Mar 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 353786 NY Primary

Addresses

Primary practice location

145 E 125TH St
New York, NY 10035-1714

Mailing address

145 E 125TH St
New York, NY 10035-1714
Phone (718) 277-0386

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250829000755 NY Practitioner - Nurse Practitioner 5597266734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Housing Works Health Services III IncGroup PAC ID 7113199852, 22 clinicians

Practice addresses (Care Compare)

2640 Pitkin Ave
Brooklyn, NY 11208-2763
Phone (718) 277-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
353786NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Services II, Inc CurrentSince Jul 1, 2025 Accepting new patients
Housing Works Health Services III, Inc. CurrentSince Jul 17, 2025 Accepting new patients
Housing Works Health Services III, Inc. CurrentSince Jul 17, 2025 Accepting new patients

Locations

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

145 E 125th St
New York, NY 10035
Phone (646) 595-7440

Networks

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

Organizations & group practices 3

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1497512354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351714",
            "telephone_number": "718-277-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351714",
            "telephone_number": "718-277-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRETTA",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.