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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. NICOLE CAMPOS PEREZ DMD
NPI 1174420582
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since October 20, 2026
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole Campos Perez Dmd NPPES

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

DR. NICOLE CAMPOS PEREZ DMD (NPI 1174420582) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1174420582
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLE CAMPOS PEREZCredential: DMD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorNo
Enumeration DateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1174420582 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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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.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Campos Perez's NPI number?

The NPI number for Nicole Campos Perez is 1174420582. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Where is Nicole Campos Perez located?

Nicole Campos Perez practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Nicole Campos Perez's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Campos Perez was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.