1. Home
  2. Directory
  3. New York
  4. Fresh Meadows
  5. Internal Medicine
  6. NPI Profile

JOHN PERRY NICHOLSON MD
NPI 1326079153
Internal Medicine - Cardiovascular Disease in Fresh Meadows, NY

Active since July 06, 2006PECOS Enrolled
17403 HORACE HARDING EXPY, FRESH MEADOWS, NY 11365(718) 670-1695(516) 437-4167 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Perry Nicholson Md NPPES

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

JOHN PERRY NICHOLSON MD (NPI 1326079153) is an individual cardiovascular disease provider in Fresh Meadows, New York, licensed in New York (138577) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326079153
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN PERRY NICHOLSONCredential: MD
Location Address17403 HORACE HARDING EXPYFresh Meadows, NY 11365-1527
Mailing AddressPo Box 27842New York, NY 10087-7842 · (718) 670-1651 · Fax (516) 437-4167
Phone(718) 670-1695
Fax(516) 437-4167
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 15, 2010
✔ NPI 1326079153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 138577
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
17403 HORACE HARDING EXPY, Fresh Meadows, NY 11365
Open in Google Maps ↗

Other Identifiers 5

Medicare PINA400032474NY
Medicare UPINB78512NY
Medicare ID-Type Unspecified01171GNY
Medicare PIN060021227NY
Medicaid00856780NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Perry Nicholson Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Queens Medicine And Surgery, P.C.
0.5 mi
Pediatrics
16303 HORACE HARDING EXPY, 4TH FLOOR
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
NPI 1003114851 (718) 670-1019
Newyork-Presbyterian/Queens
1.7 mi
Cardiovascular Disease
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 120 clinicians in this Medicare group
NPI 1013960962 (718) 886-7014

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NYHMCQ - CARDIAC HEALTH CENTER
Internal Medicine (Cardiovascular Disease)
17403 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Queens County (718) 670-1365
BARBARA S PISTONE MS, RD
Dietitian, Registered
17403 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Queens County (718) 670-1695
MRS. BHARATHI REDDY MD
Internal Medicine
17403 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Queens County (718) 670-1695

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 John Nicholson's NPI number?

The NPI number for John Nicholson is 1326079153. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is John Nicholson located?

John Nicholson practices at 17403 Horace Harding Expy, Fresh Meadows, NY 11365. The listed phone number is (718) 670-1695.

What is John Nicholson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Nicholson enrolled in Medicare?

Yes. John Nicholson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Nicholson reassigns Medicare benefits to 2 organizations: New York Queens Medicine And Surgery, P.C. (Fresh Meadows, NY) and Newyork-Presbyterian/Queens (Flushing, 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 John Nicholson'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 John Nicholson was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.