DR. NICOLINA MARIE WAWRIN MD
NPI 1073900940
Pediatrics in Long Island City, NY
About Dr. Nicolina Marie Wawrin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLINA MARIE WAWRIN MD (NPI 1073900940) is an individual pediatrics provider in Long Island City, New York, licensed in New York (293684) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicolina Marie Wawrin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicolina Wawrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 980 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11101 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11101
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 Nicolina Wawrin's NPI number?
The NPI number for Nicolina Wawrin is 1073900940. It was assigned to this individual provider in the NPPES registry on April 18, 2015.
Where is Nicolina Wawrin located?
Nicolina Wawrin practices at 2825 Jackson Ave Fl 2, Long Island City, NY 11101. The listed phone number is (646) 962-4170.
What is Nicolina Wawrin's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Nicolina Wawrin enrolled in Medicare?
Yes. Nicolina Wawrin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicolina Wawrin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolina Wawrin reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolina Wawrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicolina Wawrin was last updated on July 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Nicolina Marie Wawrin, MD · NPI 1073900940
Pediatrics physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since April 18, 2015.
## Identity
- **NPI:** 1073900940 (Entity type: Individual)
- **Enumerated:** April 18, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 293684 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2825 JACKSON AVE FL 2, Long Island City, NY 11101-2920
- **Phone:** (646) 962-4170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Weill Medical College Of Cornell (NPI 1134243652, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073900940) · Data from the CMS NPPES public registry.