Individual provider Active NPI

Nicole Bernadette Tardio, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1679742415
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011987 Issued in NY
Practice address
853 Broadway
Suite 701
New York, NY 10003-4703
Phone
(212) 627-1004
Fax
(212) 473-2309
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011987 NY Primary

Addresses

Primary practice location

853 Broadway
Suite 701
New York, NY 10003-4703

Mailing address

853 Broadway
Suite 701
New York, NY 10003-4703
Phone (212) 627-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170413001901 NJ Practitioner - Physician Assistant 9830274794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

712 E Bay Ave
Suite 18
Manahawkin, NJ 08050-3447
Phone (212) 283-3000

800 Bunn Dr
Suite 201
Princeton, NJ 08540-1968
Phone (973) 571-2121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC Past Accepting new patients
Austin FP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicole.tardio@schweigerderm.emadirect.md

Organizations & group practices 3

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1679742415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BROADWAY",
            "address_2": "SUITE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034703",
            "telephone_number": "212-627-1004",
            "fax_number": "212-473-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BROADWAY",
            "address_2": "SUITE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034703",
            "telephone_number": "212-627-1004",
            "fax_number": "212-473-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIO",
        "first_name": "NICOLE",
        "middle_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.