Active NPI
Nicolette Grace Fino
- Physician Assistant
- Marlboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11 Breton CT
Marlboro, NJ 07746-2705 - Phone
- (732) 865-5603
- NPI assigned
- Apr 6, 2020
- Last updated
- May 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11 Breton CT
Marlboro, NJ 07746-2705
Mailing address
11 Breton CT
Marlboro, NJ 07746-2705
Phone (732) 865-5603
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21418 24TH Ave
Bayside, NY 11360-2219
Phone (212) 283-3000
35 E Grassy Sprain Rd
Suite 507
Yonkers, NY 10710-4610
Phone (212) 283-3000
385 Merrick Rd
Amityville, NY 11701-3420
Phone (212) 283-3000
657 Yonkers Ave
Suite 1
Yonkers, NY 10704-2669
Phone (212) 283-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schweiger Dermatology PLLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| The Connecticut Dermatology Group PLLC | Past | Accepting new patients |
Locations
385 Merrick Rd
Amityville, NY 11701
3276 Westchester Ave
Fl 2
Bronx, NY 10461
Phone (718) 931-5550
21418 24th Ave
Flushing, NY 11360
Phone (718) 428-6000
825 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 773-4500
1727 Broadway
#2
New York, NY 10019
Phone (212) 489-6669
33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184
35 E Grassy Sprain Rd
Yonkers, NY 10710
Phone (914) 337-5252
35 E Grassy Sprain Rd
Ste 207
Yonkers, NY 10710
35 E Grassy Sprain Rd
Ste 507
Yonkers, NY 10710
Phone (914) 779-5606
657 Yonkers Ave
Ste 1
Yonkers, NY 10704
Phone (914) 340-3452
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- nfino2006924@nychhc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Dermatology Physician
- Norwalk, CT
- NPI 1699881557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1588293187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BRETON CT",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077462705",
"telephone_number": "732-865-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BRETON CT",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077462705",
"telephone_number": "732-865-5603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINO",
"first_name": "NICOLETTE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.