Individual provider Active NPI

Nikolas McEnerney, PA

  • Plastic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1942233408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
007396 Issued in NY
Practice address
833 Northern Boulevard
Suite #160
Great Neck, NY 11021-5322
Phone
(516) 498-8400
Fax
(516) 498-8404
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 007396 NY Primary

Addresses

Primary practice location

833 Northern Boulevard
Suite #160
Great Neck, NY 11021-5322

Mailing address

833 Northern Boulevard
Suite #160
Great Neck, NY 11021-5322
Phone (516) 498-8400

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
I20060322000229 NY Practitioner - Physician Assistant 0042228744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Plastic Surgery PCGroup PAC ID 7012924939, 10 clinicians

Practice addresses (Care Compare)

833 Northern Blvd
Suite 160
Great Neck, NY 11021-5322
Phone (516) 498-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York Cardiovascular Anesthesiologists, P.C. PastSince Nov 5, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nmcenerney308091@nyumc.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942233408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BOULEVARD",
            "address_2": "SUITE #160",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215322",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BOULEVARD",
            "address_2": "SUITE #160",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215322",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENERNEY",
        "first_name": "NIKOLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "007396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.