Individual provider Active NPI

Nicole Aljoe

  • Advanced Practice Midwife
  • Smithtown, NY
National Provider Identifier
1801343355
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001755 Issued in NY
Practice address
70 Maple Street
Smithtown, NY 11787
Phone
(631) 361-7526
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 001755 NY Primary

Addresses

Primary practice location

70 Maple Street
Smithtown, NY 11787

Mailing address

777 N William St
North Baldwin, NY 11510-1435
Phone (917) 302-6334

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004003081 NY Practitioner - Certified Nurse Midwife (CNM) 0446525273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001755NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Aug 2, 2017 Accepting new patients
Birthing Medical Group Past Accepting new patients

Locations

570 Taxter Rd
Ste 250
Elmsford, NY 10523

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

Interoperability endpoints

  • Direct secure messaging: nicole.aljoe.1@7449.direct.athenahealth.com

Organizations & group practices 2

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1801343355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N WILLIAM ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101435",
            "telephone_number": "917-302-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAPLE STREET",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-361-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALJOE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.