Individual provider Active NPI

Grace Nicot

  • Registered Nurse
  • New Hyde Park, NY
National Provider Identifier
1871798926
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
463924-1 Issued in NY
Practice address
1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042-2006
Phone
(516) 876-4100
Fax
(516) 876-4101
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 463924-1 NY Primary
Adult Health Nurse Practitioner 363LA2200X F304504-1 NY

Addresses

Primary practice location

1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042-2006

Mailing address

1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042-2006
Phone (516) 876-4100

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
I20100430000351 NY Practitioner - Nurse Practitioner 0345377933 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
463924-1NYMDRegistered Nurse
F304504-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Community Physicians PC CurrentSince Mar 1, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Preferred Health Medical Care PC CurrentSince Mar 3, 2020 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Jun 1, 2023 Accepting new patients
Robert William Harrington Jr MD PLLC CurrentSince Nov 20, 2023 Accepting new patients
Sheryl a Pearl MD PC CurrentSince Jan 2, 2023 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

6902 Austin St
Fl 3
Forest Hills, NY 11375
Phone (718) 544-4443

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042
Phone (516) 872-4100

27005 76th Ave
North New Hyde Pk, NY 11040

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151

Interoperability endpoints

  • Direct secure messaging: gracenicot@nslijmedgr.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1871798926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "STE C102",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422006",
            "telephone_number": "516-876-4100",
            "fax_number": "516-876-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "STE C102",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422006",
            "telephone_number": "516-876-4100",
            "fax_number": "516-876-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOT",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "463924-1",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304504-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.