Individual provider Active NPI

Nicole Marie Esposito, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1578998621
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024618 Issued in NY
Practice address
919 3Rd Ave
New York, NY 10022-3902
Phone
(212) 530-0650
Fax
(212) 867-4353
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2966 CT
Physician Assistant 363A00000X 024618 NY Primary

Addresses

Primary practice location

919 3Rd Ave
New York, NY 10022-3902

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

Other practice location 1

4 Corporate Dr
Suite 394
Shelton, CT 06484-6211
Phone (203) 225-0375

Other practice location 2

104 Heights Rd # R103
Darien, CT 06820-4119
Phone (888) 663-6331

Other identifiers 1

IdentifierTypeStateIssuer
1578998621MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150603000065 CT Practitioner - Physician Assistant 0244551257 Reassigns benefits to 2 organizations
I20200225001464 NY Practitioner - Physician Assistant 0244551257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Embarcadero Ctr
Suite 1900
San Francisco, CA 94111-3723

129 W 29TH St
FL 10
New York, NY 10001-5105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Northeast Medical Group, Inc CurrentSince Jun 1, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jun 1, 2015 Accepting new patients
One Medical of Ny, P.C. CurrentSince Jan 1, 2026 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

4 Corporate Dr
Ste 394
Shelton, CT 06484
Phone (203) 225-0375

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

111 E 210th St
Bronx, NY 10467

919 3rd Ave
New York, NY 10022
Phone (212) 530-0630

515 Madison Ave
Fl 25
New York, NY 10022
Phone (212) 530-0650

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1578998621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223902",
            "telephone_number": "212-530-0650",
            "fax_number": "212-867-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Corporate Dr",
            "address_2": "Suite 394",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846211",
            "country_code": "US",
            "telephone_number": "203-225-0375",
            "fax_number": "203-225-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Heights Rd # R103",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "CT",
            "postal_code": "068204119",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2966",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578998621",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.