CHLOE NICOLAISEN MD
NPI 1073190732
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Chloe Nicolaisen's NPI number?

The NPI number for Chloe Nicolaisen is 1073190732. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Chloe Nicolaisen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Chloe Nicolaisen was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 26, 2021

111 E 210TH ST, BRONX, NY 10467(718) 430-4031(718) 430-2576 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Apr 14, 2021, Mar 26, 2021 (3 updates tracked since 2021).

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About Chloe Nicolaisen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHLOE NICOLAISEN MD (NPI 1073190732) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2021. She maintains a secondary practice location in Ukiah.

NPPES Registry Identity

NPI1073190732

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCHLOE NICOLAISENCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 430-4031 · Fax (718) 430-2576

Phone(718) 430-4031

Fax(718) 430-2576

Sole ProprietorNo

Enumeration DateMarch 26, 2021

Last NPPES UpdateApril 18, 20223 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1073190732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

111 E 210TH ST, Bronx, NY 10467

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Secondary Practice Location 1

Location 1260 Hospital Dr Ste 103Ukiah, CA 95482-4568 · Phone (707) 467-3123

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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)