Nicole Pelan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344115 Issued in NY

Practice address

1000 Northern Blvd Ste 360
Great Neck, NY 11021-5312

Phone

(516) 829-6660

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthy Heart Cardiology, P.C.

  • Specialist
  • Great Neck, NY
  • NPI 1124434618
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1790396919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 KEILY DR",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832004",
            "telephone_number": "516-729-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD STE 360",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-829-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAN",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nicolemastrianni@gmail.com",
            "affiliation": "N",
            "address_1": "3886 Keily Dr",
            "city": "Seaford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117832004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatric Ophthalmology of Greater Ny, PC
• Consuelo Pedro
• Henry Pek, M.D.
• Monika Rosemary Pek, MD
• Vannisa Pelage
• David Pelcovitz, PHD
• Regina M. Pemberton, L.CSW
• Carmine Pena, DDS
• Luz Marina Pena, DPT
• Joseph Pennachio, PT

• Family Nurse Practitioner in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.