NPIMap

Individual provider Active NPI

Nicole Nocera, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1578983375
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
170310 Issued in CA
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 532-0841
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 298846-1 NY
Diagnostic Radiology Physician 2085R0202X 170310 CA Primary

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

550 1St Ave
New York, NY 10016-6402
Phone (212) 532-0841

Other identifiers 2

IdentifierTypeStateIssuer
170310OtherCACALIFORNIA STATE MEDICAL LICENSE
298846-1OtherNYNEW YORK STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201028000795 CA Practitioner - Diagnostic Radiology 0446597579 Reassigns benefits to 1 organization
I20241014002906 CO Practitioner - Diagnostic Radiology 0446597579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

5975 Buttermere Dr
Colorado Springs, CO 80906-8271
Phone (747) 293-9005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.32 of 100Reported as individual
Quality
78.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298846-1NYMDLicensed Practical Nurse
170310CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Sep 3, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Aug 13, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Southern Inyo Healthcare District CurrentSince Nov 26, 2022 Accepting new patients
Southern Inyo Healthcare District CurrentSince Nov 26, 2022 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Aug 13, 2024 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology Past Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1578983375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-532-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-532-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCERA",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "298846-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "170310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE MEDICAL LICENSE",
            "identifier": "170310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MEDICAL LICENSE",
            "identifier": "298846-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.