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NICOLE GABRIELLE BALZAFIORE
NPI 1568040319
Social Worker - Clinical in Central Islip, NY

Active since April 01, 2021PECOS Enrolled
159 CARLETON AVE, CENTRAL ISLIP, NY 11722(631) 650-2510 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2021, Apr 1, 2021 (2 updates tracked since 2021).

About Nicole Gabrielle Balzafiore NPPES

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

NICOLE GABRIELLE BALZAFIORE (NPI 1568040319) is an individual clinical provider in Central Islip, New York, licensed in New York (091163) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568040319
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE GABRIELLE BALZAFIORE
Location Address159 CARLETON AVECentral Islip, NY 11722-4172
Mailing Address100 Port Washington Blvd Ste G02Roslyn, NY 11576-1347
Phone(631) 650-2510
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1568040319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 091163
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
159 CARLETON AVE, Central Islip, NY 11722
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Gabrielle Balzafiore 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11722 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
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

ANDREA MARTINEZ VILLALOBOS RPA-C
Physician Assistant
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510
MICHELE JEAN SEID PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510
LONG ISLAND SELECT HEALTHCARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510
MELVIN GEORGE RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510
CHRISTINA ALICIA BIANCHINI DPT
Physical Therapist
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2188
TRIZ ANN HEBRON DEAROZ OTR/L
Occupational Therapist
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510
EILEEN MARIE MURRAY LCSW
Social Worker (Clinical)
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510
MS. SUSANN CUCCIA RDH
Dental Hygienist
159 CARLETON AVE
CENTRAL ISLIP, NY 11722
Suffolk County (631) 650-2510

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 Balzafiore's NPI number?

The NPI number for Nicole Balzafiore is 1568040319. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Nicole Balzafiore located?

Nicole Balzafiore practices at 159 Carleton Ave, Central Islip, NY 11722. The listed phone number is (631) 650-2510.

What is Nicole Balzafiore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Balzafiore enrolled in Medicare?

Yes. Nicole Balzafiore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Balzafiore was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.