Active NPI
Nicole Ferrara, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1821249210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010146-1
- Practice address
- 111 East 210TH Street
Montefiore Medical Center
Bronx, NY 10467-2490 - Phone
- (718) 920-5604
- Fax
- (718) 920-2435
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 010146-1 | NY | Primary |
Addresses
Primary practice location
111 East 210TH Street
Montefiore Medical Center
Bronx, NY 10467-2490
Mailing address
634 Lafayette Rd
PH
Harrington Park, NJ 07640-1015
Phone (201) 660-7262
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010146-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ggu9001@direct.nyp.org
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1821249210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 LAFAYETTE RD",
"address_2": "PH",
"city": "HARRINGTON PARK",
"state": "NJ",
"postal_code": "076401015",
"telephone_number": "201-660-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST 210TH STREET",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "104672490",
"telephone_number": "718-920-5604",
"fax_number": "718-920-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARA",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010146-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.