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NICOLE MARMOL
NPI 1306645841
Licensed Practical Nurse in Port Jefferson Station, NY

Active since March 08, 2025
22 GRAND AVE, PORT JEFFERSON STATION, NY 11776(631) 394-6084 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2025, Mar 8, 2025 (2 updates tracked since 2025).

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About Nicole Marmol NPPES

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

NICOLE MARMOL (NPI 1306645841) is a licensed practical nurse provider in Port Jefferson Station, New York, licensed in New York (344786) and active in the NPI registry since March 2025.Information from the official NPPES registry record, last updated March 20, 2025.

NPPES Registry Identity

NPI1306645841
Entity TypeIndividualFemale
Provider Legal NameNICOLE MARMOL
Location Address22 GRAND AVEPort Jefferson Station, NY 11776-1408
Mailing Address22 Grand AvePort Jefferson Station, NY 11776-1408 · (631) 394-6084
Phone(631) 394-6084
Sole ProprietorNo
Enumeration DateMarch 8, 2025
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1306645841 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Licensed Practical Nurse

Taxonomy 164W00000X · Nursing Service Providers

✔ Licensed in NY · 344786

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for… Show more

22 GRAND AVE, Port Jefferson Station, NY 11776
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Last updated in NPPES on March 20, 2025 · 2 updates tracked since enumeration.

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Frequently Asked Questions

What is Nicole Marmol's NPI number?

The NPI number assigned to this healthcare provider is 1306645841, enumerated as an "individual" on March 08, 2025.

Where is the provider located?

The provider is located at 22 GRAND AVE PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 394-6084.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.