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BEVERLY NICHOLS
NPI 1255403242
Specialist in Kew Gardens, NY

Active since November 14, 2006
12510 QUEENS BLVD, KEW GARDENS, NY 11415(718) 459-5592(718) 459-6047 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Nichols NPPES

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

BEVERLY NICHOLS (NPI 1255403242) is an individual specialist in Kew Gardens, New York, licensed in New York (9569L001) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1255403242
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBEVERLY NICHOLS
Location Address12510 QUEENS BLVDKew Gardens, NY 11415-1519
Mailing Address12510 Queens BlvdKew Gardens, NY 11415-1519 · (718) 459-5592 · Fax (718) 459-6047
Phone(718) 459-5592
Fax(718) 459-6047
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1255403242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 9569L001
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinical Nurse Specialist · Home HealthTaxonomy 364SH0200X · License 9569L001 (NY)
Also ListedHome Health AideTaxonomy 374U00000X · License 9569L001 (NY)
12510 QUEENS BLVD, Kew Gardens, NY 11415
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Other Identifiers 1

Medicaid01761260NY

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.

CARRIE A. PALMER, LLC
Ophthalmology
12510 QUEENS BLVD, STE. 911
KEW GARDENS, NY 11415
Queens County (646) 265-7635
SHIRLEY V. LEON M.S. SPED
Specialist
12510 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 593-4121
OLGA A BURZYANTSEVA M.D.
Internal Medicine (Cardiovascular Disease)
12510 QUEENS BLVD, STE 2701
KEW GARDENS, NY 11415
Queens County (718) 261-0444
ACHIEVED OCCUPATIONAL THERAPY ASSISTANT CARE, PLLC
Early Intervention Provider Agency
12510 QUEENS BLVD, UNIT #9A
KEW GARDENS, NY 11415
Queens County (718) 857-1800
MARIAN DAVID, MD, PC
Specialist
12510 QUEENS BLVD, SUITE 2701
KEW GARDENS, NY 11415
Queens County (718) 261-0444
DR. CHAIM MEIR MOELLER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
12510 QUEENS BLVD, STE 2701
KEW GARDENS, NY 11415
Queens County (718) 261-0444
DR. PETER R NIYAZOV PHARMD
Pharmacist
12510 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 520-3460
NATALIE YAEL ABRAHAM PA-C
Physician Assistant
12510 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 261-0444

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 Beverly Nichols's NPI number?

The NPI number for Beverly Nichols is 1255403242. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Beverly Nichols located?

Beverly Nichols practices at 12510 Queens Blvd, Kew Gardens, NY 11415. The listed phone number is (718) 459-5592.

What is Beverly Nichols's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Beverly Nichols was last updated on December 13, 2021. 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.