Individual provider Active NPI

Nicolette Grace Fino

  • Physician Assistant
  • Marlboro, NJ
National Provider Identifier
1588293187
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11 Breton CT
Marlboro, NJ 07746-2705
Phone
(732) 865-5603
NPI assigned
Apr 6, 2020
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103001983 NY Practitioner - Physician Assistant 1759797913 Reassigns benefits to 1 organization

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
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

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

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC CurrentSince Jan 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.