Nicholas R. Estis, PA-C
Individual provider Active NPI Surgical Physician Assistant · New York, NY
NPI 1831572239 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1831572239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 018714 (NY)
- Practice address
- 535 East 70TH St
New York, NY 10087-1851 - Phone
- (646) 714-6324
- NPI assigned
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ny Society for the Relief of Ruptured and Crippled Maintaining
Practice addresses (Care Compare)
1 Blachley Rd
Stamford, CT 06902-0002
Phone (212) 774-7598
521 E 71St St
New York, NY 10021-4871
Phone (212) 774-7598
535 E 70TH St
New York, NY 10021-4823
541 E 71St St
New York, NY 10021-4871
Phone (646) 797-8973
Hospital & facility affiliations
- Hospital for Special Surgery
- Stamford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151001002648 | NY | Practitioner - Physician Assistant | 4688982135 | Reassigns benefits to 2 organizations |
| I20161216001367 | CT | Practitioner - Physician Assistant | 4688982135 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018714 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Society for the Relief of Ruptured and Crippled Maintain | Current |
Accepting new patients | |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current |
Accepting new patients |
Locations
32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
1 Blachley Rd
Stamford, CT 06902
Phone (203) 705-0750
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
541 E 71st St
New York, NY 10021
Phone (212) 606-1136
535 E 70th St
New York, NY 10021
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- nestis65627@direct.hss.edu
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
- nestis24773@stamfordhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 018714 | NY | Yes |
Addresses
Primary practice location
535 East 70TH St
New York, NY 10087-1851
Mailing address
PO Box 29234
New York, NY 10087-9234
Phone (646) 714-6324
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Direct | |
| Direct Messaging Address | nestis65627@direct.HSS.edu | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Direct |
NPI Registry JSON
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1831572239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29234",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879234",
"telephone_number": "646-714-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 EAST 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100871851",
"telephone_number": "646-714-6324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTIS",
"first_name": "NICHOLAS",
"middle_name": "R.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-02",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "018714",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 East 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100871851",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nestis65627@direct.HSS.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 East 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100871851",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 East 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100871851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.