Individual provider Active NPI

Nicole Caroline Machac, M.D.

  • Obstetrics & Gynecology Physician
  • Newark, NJ
National Provider Identifier
1811422975
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
308607 Issued in NY
Practice address
185 S Orange Ave
MSB E-506
Newark, NJ 07103-2757
Phone
(201) 403-3812
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 308607 NY Primary

Addresses

Primary practice location

185 S Orange Ave
MSB E-506
Newark, NJ 07103-2757

Mailing address

185 S Orange Ave
MSB E-506
Newark, NJ 07103-2757

Other identifiers 1

IdentifierTypeStateIssuer
06582163MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721001295 NY Practitioner - Obstetrics/Gynecology 1052714532 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308607NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Obstetrics & Gynecology CurrentSince Mar 12, 2024 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jul 1, 2021 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Mar 12, 2024 Accepting new patients
Comprehensive Medical Care, PC CurrentSince Aug 1, 2021 Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Choices Women'S Medical Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

253 Empire Blvd
Brooklyn, NY 11225

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

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

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nmachac97625@direct.medisys.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1811422975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S ORANGE AVE",
            "address_2": "MSB E-506",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S ORANGE AVE",
            "address_2": "MSB E-506",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032757",
            "telephone_number": "201-403-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHAC",
        "first_name": "NICOLE",
        "middle_name": "CAROLINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "308607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06582163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.