Nicole Alimario, PA-C
Individual provider Active NPI Physician Assistant · Manhasset, NY
NPI 1891422010 · NPPES record last updated Jun 24, 2023
Key facts
- NPI
- 1891422010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3876 - Phone
- (516) 562-0100
- NPI assigned
- Aug 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20230912001389 | NY | Practitioner - Physician Assistant | 8224492178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029448 | NY | MD | Pediatric Occupational Therapist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3876
Mailing address
300 Community Dr
Manhasset, NY 11030-3876
Phone (516) 562-0100
Other providers in Manhasset, NY
- Muhammad Ali
- Sayed Sajid Ali
- Thara Sofia Ali
- Zohair Ali
- Steven Peter Alimaras
- Yassmin Aljaberi
- All Island Orthotics & Prosthetics, Inc
- Stephern Elizabeth Allison
- Erin Patricia Allmer
- Elisa Alpert
All providers in Manhasset, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.