Nicole Faello

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

622010 Issued in NY

Practice address

9131 Queens Blvd
Suite 604
Elmhurst, NY 11373-5555

Phone

(718) 779-7000

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Able Health Care Service, Inc.

  • Home Health Agency
  • Merrick, NY
  • NPI 1629070677
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1972920304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 60TH ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "address_2": "SUITE 604",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735555",
            "telephone_number": "718-779-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAELLO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "622010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyeworld Optical QCM
• Ez Orthodontics PLLC (Ez Ortho)
• Rina Fabian, LCSW
• Marilyn Fabio, PA
• Walter Augusto Fabris Moraes, MD
• Phillip G. Fairweather, M.D.
• Zohaa Faiz, MD
• Anita Fajardo
• Kimberly Anne Falco, SPECIAL EDUCATION
• Marina Falconi

• Home Health Registered Nurse in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.