Individual provider Active NPI

Cashmilla Nicholas

  • Family Nurse Practitioner
  • Saint Albans, NY
National Provider Identifier
1811415102
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341087 Issued in NY
Practice address
20412 104TH Ave
Saint Albans, NY 11412-1402
Phone
(718) 503-1269
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341087 NY Primary

Addresses

Primary practice location

20412 104TH Ave
Saint Albans, NY 11412-1402

Mailing address

1670 Bell Blvd
Bayside, NY 11360-1645

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
I20180921001402 NY Practitioner - Nurse Practitioner 1557612025 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F341087NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Nov 24, 2018 Accepting new patients
Jamaica Hospital CurrentSince Sep 1, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 24, 2018 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Dec 1, 2019 Accepting new patients
Jamaica Hospital CurrentSince Sep 1, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 1, 2019 Accepting new patients
Beacon Health Medical PC CurrentSince Oct 1, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 1, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 24, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince Nov 24, 2018 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1811415102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20412 104TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121402",
            "telephone_number": "718-503-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "CASHMILLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

Verify at the official NPI Registry.