Individual provider Active NPI

Nicole Tesoriero

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1821149717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00025700 Issued in NJ
Practice address
1 Penn Plaza, 7TH FL. Ste. 725
Evercare
New York, NY 10119
Phone
(212) 216-6830
Fax
(212) 216-6606
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00025700 NJ Primary

Addresses

Primary practice location

1 Penn Plaza, 7TH FL. Ste. 725
Evercare
New York, NY 10119

Mailing address

1 Penn Plaza, 7TH FL. Ste. 725
Evercare
New York, NY 10119
Phone (212) 216-6830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00025700NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821149717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PENN PLAZA, 7TH FL. STE. 725",
            "address_2": "EVERCARE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10119",
            "telephone_number": "212-216-6830",
            "fax_number": "212-216-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN PLAZA, 7TH FL. STE. 725",
            "address_2": "EVERCARE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10119",
            "telephone_number": "212-216-6830",
            "fax_number": "212-216-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIERO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00025700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.