Individual provider Active NPI

Nicholas Adam Solarino, PA-C

  • Medical Physician Assistant
  • Bronx, NY
National Provider Identifier
1851690770
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014658-1 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2490
Phone
(718) 920-2961
Fax
(718) 920-2058
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014658-1 NY Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2490

Mailing address

333 E 75TH St Apt 3G
New York, NY 10021-3050
Phone (201) 966-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000910 NY Practitioner - Physician Assistant 2769610138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathleen Vine MD PCGroup PAC ID 8921220310, 10 clinicians

Practice addresses (Care Compare)

20408 Rockaway Point Blvd
Breezy Point, NY 11697-1115
Phone (646) 421-6064

928 Broadway
Suite 301
New York, NY 10010-8156
Phone (646) 421-6064

928 Broadway
Suite 401
New York, NY 10010-8150
Phone (646) 421-6064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014658NYMDClinical Psychologist
014658-1NYMDSpeech-Language Pathologist

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1851690770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 75TH ST APT 3G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213050",
            "telephone_number": "201-966-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672490",
            "telephone_number": "718-920-2961",
            "fax_number": "718-920-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLARINO",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014658-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.