NICOLE GONCALVES MD
NPI 1144963430
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Nicole Goncalves Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE GONCALVES MD (NPI 1144963430) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Goncalves Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Goncalves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 20 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.
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.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
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 Goncalves's NPI number?
The NPI number for Nicole Goncalves is 1144963430. It was assigned to this individual provider in the NPPES registry on April 15, 2022.
Where is Nicole Goncalves located?
Nicole Goncalves practices at Maimonides Medical Center 4802 10th Avenue, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.
What is Nicole Goncalves's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicole Goncalves enrolled in Medicare?
Yes. Nicole Goncalves is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Goncalves's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Goncalves reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Boro Park Obstetrics & Gynecology P.C. (Brooklyn, NY). Each 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 Nicole Goncalves'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 Nicole Goncalves was last updated on April 15, 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.
# Nicole Goncalves, MD · NPI 1144963430
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 15, 2022.
## Identity
- **NPI:** 1144963430 (Entity type: Individual)
- **Enumerated:** April 15, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE, Brooklyn, NY 11219-2999
- **Phone:** (718) 283-6000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY); Boro Park Obstetrics & Gynecology P.C. (NPI 1467586792, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** April 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1144963430) · Data from the CMS NPPES public registry.