Robert C. Nico, PEER SPECIALIST

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

NYCPS-605 Issued in NY

Practice address

3133 Perry Ave
Bronx, NY 10467-4132

Phone

(917) 208-1362

NPI assigned

Dec 12, 2014

Last updated

May 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1841698420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563467",
            "telephone_number": "718-503-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 PERRY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674132",
            "telephone_number": "917-208-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICO",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Nicholson
• Margaret Nicholson
• Velma V. Nicholson, REGISTERED NURSE BSN
• Michael James Nickas, D.O.
• Saundra Nickens
• Nicobi Health & Surgical Equipment, Inc.
• Nicola Roselli
• Chloe Nicolaisen, MD
• Constantine John Nicolas, D.C.
• Nicole Burrell

• Peer Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.