NICOLE BIFULCO (NPI# 1053776476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053776476 |
| Entity Type | Individual |
| Full Name | NICOLE BIFULCO |
| Practice Address |
8268 164th St Jamaica NY 11432-1121 |
| Mailing Address |
15839 81st St Howard Beach NY 11414-2920 |
| Practice Telephone | 7188833000 |
| Mailing Telephone | 9175787105 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8268 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921814 | Richard Arena | Pharmacist | 8268 164th St, Jamaica, NY 11432-1140 | 2005-06-09 |
| 1598366379 | Yasir Ahmed | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-11-06 |
| 1881294551 | Toor P Noori | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-10-30 |
| 1588264592 | Joshua Beckhusen | Pharmacist | 8268 164th St, Jamaica, NY 11432-1104 | 2020-10-28 |
| 1235744376 | Tanvir Rahman | Pharmacist | 8268 164th St, Jamaica, NY 11432-1121 | 2020-09-15 |
| 1033724869 | Danielle Taylor Kleinhans | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1104 | 2020-09-09 |
| 1295346179 | Amanpreet Kaur | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-08-13 |
| 1093325490 | Jodiane Ashpole | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-31 |
| 1497372551 | Jinjin Lin | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-06 |
| 1245856269 | Kiranjot Kaur | Student in an Organized Health Care Education/Training Program | 8268 164th St, Jamaica, NY 11432-1121 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1518247329 | Mahendra Jadunauth Samaroo | Physician Assistant | 8544 150th St, Jamaica, NY 11435-2826 | 2011-08-24 |
| 1396061032 | Elana Yusupova | Physician Assistant | 8311 139th St Apt 1h, Jamaica, NY 11435-1602 | 2010-04-19 |
| 1033724869 | Danielle Taylor Kleinhans | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1104 | 2020-09-09 |
| 1588203806 | Jonathan Bile | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-01-03 |
| 1336417518 | Mariya Aranbayeva | Physician Assistant | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2011-12-02 |
| 1326327453 | Lauren Ann Schondebare | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2011-08-07 |
| 1730414301 | Laura Anne Selikson | Physician Assistant | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2009-10-14 |
| 1255665915 | Janelle Harrison | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2009-09-29 |
| 1245419993 | Janelle S Gentile | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2007-10-30 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.