Active NPI
Nicole Kathleen Dobriner
- Licensed Practical Nurse
- Selden, NY
National Provider Identifier
1609697648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 293741
- Practice address
- 45 Franco Ave
Selden, NY 11784-1833 - Phone
- (631) 834-9536
- NPI assigned
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293741 | NY | MD | Emergency Medicine Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 293741 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
45 Franco Ave
Selden, NY 11784-1833
Mailing address
45 Franco Ave
Selden, NY 11784-1833
Phone (631) 834-9536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2024.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1609697648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 FRANCO AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841833",
"telephone_number": "631-834-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FRANCO AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841833",
"telephone_number": "631-834-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRINER",
"first_name": "NICOLE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "293741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.