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NINA FIORDALISO PA
NPI 1669542593
Physician Assistant - Medical in Brooklyn, NY

Active since November 08, 2006PECOS Enrolled
4802 10TH AVENUE, BROOKLYN, NY 11219(718) 283-8773(718) 283-8796 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nina Fiordaliso Pa NPPES

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

NINA FIORDALISO PA (NPI 1669542593) is an individual medical provider in Brooklyn, New York, licensed in New York (007483) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669542593
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNINA FIORDALISOCredential: PA
Location Address4802 10TH AVENUEBrooklyn, NY 11219
Mailing AddressGpo Box 29580New York, NY 10087-9580 · (718) 283-8773 · Fax (718) 283-8796
Phone(718) 283-8773
Fax(718) 283-8796
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 16, 2019
✔ NPI 1669542593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 007483
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 007483 (NY)
4802 10TH AVENUE, Brooklyn, NY 11219
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Other Identifiers 1

Medicaid02622526NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina Fiordaliso Pa 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.

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.

MR. EDWARD H. WU R.PH.
Pharmacist
4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-8502
MRS. MORINE FIBELMAN M.D
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-6879
VARNIKA PUNIA
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-6000
STELLA GERSHKOVICH PA
Physician Assistant (Surgical)
4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JOSEPH CHIANG M.D.
Emergency Medicine
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Kings County (646) 423-1139
DR. JOSE ROBERT CONCEPCION M.D.
Radiology (Diagnostic Radiology)
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Kings County (718) 283-6000
RIVKA PODOROVSKY-BANKER M.D.
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. GEORGE CHAHINE M.D
Psychiatry & Neurology (Psychiatry)
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
NEW YORK CITY, NY 11219
Kings County (718) 283-6000

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 Nina Fiordaliso's NPI number?

The NPI number for Nina Fiordaliso is 1669542593. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Nina Fiordaliso located?

Nina Fiordaliso practices at 4802 10th Avenue, Brooklyn, NY 11219. The listed phone number is (718) 283-8773.

What is Nina Fiordaliso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nina Fiordaliso enrolled in Medicare?

Yes. Nina Fiordaliso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nina Fiordaliso was last updated on July 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.