NIKOLAS PETESIC N.P.
NPI 1033512793
Nurse Practitioner - Family in Bronx, NY
About Nikolas Petesic N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKOLAS PETESIC N.P. (NPI 1033512793) is an individual family provider in Bronx, New York, licensed in New York (339211) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nikolas Petesic N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nikolas Petesic's NPI number?
The NPI number for Nikolas Petesic is 1033512793. It was assigned to this individual provider in the NPPES registry on October 8, 2014.
Where is Nikolas Petesic located?
Nikolas Petesic practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5875.
What is Nikolas Petesic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nikolas Petesic enrolled in Medicare?
Yes. Nikolas Petesic is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nikolas Petesic was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nikolas Petesic, N.P. · NPI 1033512793
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 8, 2014.
## Identity
- **NPI:** 1033512793 (Entity type: Individual)
- **Enumerated:** October 8, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339211 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-5875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1033512793) · Data from the CMS NPPES public registry.