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NICOLE PAIGE POLIMENI PA-C
NPI 1144672288
Physician Assistant - Surgical in Setauket, NY

Active since July 12, 2016PECOS Enrolled
4 KENWOOD ST, SETAUKET, NY 11733(631) 871-1412 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicole Paige Polimeni Pa-c NPPES

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

NICOLE PAIGE POLIMENI PA-C (NPI 1144672288) is an individual surgical provider in Setauket, New York, licensed in New York (019856) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144672288
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE PAIGE POLIMENICredential: PA-C
Location Address4 KENWOOD STSetauket, NY 11733-2048
Mailing Address4 Kenwood StSetauket, NY 11733-2048 · (631) 871-1412
Phone(631) 871-1412
Sole ProprietorNo
Enumeration DateJuly 12, 2016
✔ NPI 1144672288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 019856
4 KENWOOD ST, Setauket, NY 11733
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Paige Polimeni Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Nicole Polimeni's NPI number?

The NPI number for Nicole Polimeni is 1144672288. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Nicole Polimeni located?

Nicole Polimeni practices at 4 Kenwood St, Setauket, NY 11733. The listed phone number is (631) 871-1412.

What is Nicole Polimeni's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Polimeni enrolled in Medicare?

Yes. Nicole Polimeni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Polimeni was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.