Active NPI
Nicole Anne Minogue, PA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1309B Avenue J
Brooklyn, NY 11230-3605 - Phone
- (718) 338-3030
- NPI assigned
- Jan 26, 2022
- 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 | Primary |
Addresses
Primary practice location
1309B Avenue J
Brooklyn, NY 11230-3605
Mailing address
325 1St St Apt C7
Brooklyn, NY 11215-1947
Phone (732) 589-4712
Other practice location 1
153 E 88th St
New York, NY 10128-2270
Phone (646) 665-3638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 E Willow St
Milburn, NJ 07041-1417
Phone (844) 337-6362
2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000
385 Merrick Rd
Amityville, NY 11701-3420
Phone (212) 283-3000
65 Broadway
Suite 1800
New York, NY 10006-2549
Phone (212) 283-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- nicole.minogue@schweigerderm.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1831841279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 1ST ST APT C7",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151947",
"telephone_number": "732-589-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309B AVENUE J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303605",
"telephone_number": "718-338-3030"
}
],
"practiceLocations": [
{
"address_1": "153 E 88th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101282270",
"country_code": "US",
"telephone_number": "646-665-3638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINOGUE",
"first_name": "NICOLE",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.