NICOLE ORTIZ (NPI# 1114585957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114585957 |
| Entity Type | Individual |
| Full Name | NICOLE ORTIZ |
| Credential | MD |
| Practice Address |
259 1st St Mineola NY 11501-3957 |
| Mailing Address |
222 Station Plz N Ste 501 Mineola NY 11501-3893 |
| Practice Telephone | 5166630333 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178198 | Nicole Lynne Ortiz | Counselor | 835 Spruce St Ste D, Espanola, NM 87532-3455 | 2017-11-20 |
| 1942652565 | Nicole Ortiz | Contractor | 7607 250th St, Bellerose, NY 11426-2619 | 2016-07-07 |
| 1609168301 | Nicole Nadine Ortiz | Occupational Therapist | 2820 Clark Ave., Norco, CA 92860 | 2011-05-12 |
| 1902107873 | Nicole Ann Ortiz | Licensed Practical Nurse | 5438 N Long Island Dr, Apt.2, Upper, Milwaukee, WI 53209-5052 | 2010-11-09 |
| 1427295906 | Nicole M Ortiz | Naturopath | 78040 Lost Elk Trl, La Quinta, CA 92253-7168 | 2009-01-20 |
| 1528685823 | Nicole Ortiz | Physician Assistant | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-07-02 |
| 1811443047 | Nicole Ortiz | Student in an Organized Health Care Education/Training Program | 8405 Hollywood Blvd, Los Angeles, CA 90048 | 2016-08-28 |
| 1225496920 | Nicole Ortiz | Specialist | 7000 Austin St, Suite200, Forest Hills, NY 11375-1022 | 2016-02-09 |
| 1326446162 | Nicole Marie Ortiz | Nurse Practitioner | 1617 Route 88 W Ste 101, Brick, NJ 08724-3010 | 2014-12-10 |
| 1245644954 | Nicole Eddy Ortiz | Nurse Practitioner | 80 Norwich New London Tpke, Uncasville, CT 06382-2527 | 2014-06-20 |
| Street Address |
259 1ST ST |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892641 | Frederick James | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2005-06-27 |
| 1164039855 | James Jacob | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2020-09-26 |
| 1649887530 | Michael D'alto | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2020-09-25 |
| 1174136121 | Anatoliy Mirkin | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-28 |
| 1497368823 | Sajumon K Joseph | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-25 |
| 1730707134 | Nathan Augustus Starkman | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-07-12 |
| 1164040143 | Melissa Dale Kersch | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-07-07 |
| 1518582964 | Jennifer Behbodikhah | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-11 |
| 1912521386 | Samuel Baskharoun | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-02 |
| 1346863404 | James Anthony Priftakis | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1861013005 | Sanjeev Baldeo | Student in an Organized Health Care Education/Training Program | 222 Station Rd Ste 305, Mineola, NY 11501-3893 | 2020-04-28 |
| 1841821881 | Erek Jourdan Lucio | Student in an Organized Health Care Education/Training Program | 465 Jefferson Pl, Mineola, NY 11501-2215 | 2020-01-29 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1700447984 | Nikita Gill | Student in an Organized Health Care Education/Training Program | 101 Jackson Ave Apt 4j, Mineola, NY 11501-2724 | 2019-06-27 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235691544 | Tania Gennell | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-04-04 |
| 1609338292 | Nicolas Gillingham | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Fl 5, Mineola, NY 11501-3800 | 2019-04-02 |
| 1134615883 | Marie Anne Christine Buteau | Student in an Organized Health Care Education/Training Program | 259 1st St Ste 509, Mineola, NY 11501-3957 | 2018-07-05 |
| Find all providers in MINEOLA | ||||
Please comment or provide details below to improve the information on NICOLE ORTIZ.
| 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.