NICOLETA V KOSCHACK NP
NPI 1780051482
Nurse Practitioner - Adult Health in Commack, NY

Q: What is Nicoleta Koschack's NPI number?

The NPI number for Nicoleta Koschack is 1780051482. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Q: What is Nicoleta Koschack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicoleta Koschack was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 28, 2015PECOS Enrolled

500 COMMACK RD, COMMACK, NY 11725(631) 638-0736(631) 630-6297 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2020, Jun 21, 2019 (2 updates tracked since 2019).

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About Nicoleta V Koschack Np NPPES

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

NICOLETA V KOSCHACK NP (NPI 1780051482) is an individual adult health provider in Commack, New York, licensed in New York (F307021) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Apo.

NPPES Registry Identity

NPI1780051482

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameNICOLETA V KOSCHACKCredential: NP

Location Address500 COMMACK RDCommack, NY 11725-5020

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-8478

Phone(631) 638-0736

Fax(631) 630-6297

Sole ProprietorNo

Enumeration DateAugust 28, 2015

Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration

NPPES CertifiedNovember 3, 2020

✔ NPI 1780051482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F307021

500 COMMACK RD, Commack, NY 11725

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Secondary Practice Location 1

Location 1CMR, 402APO, AE 09180 · Phone 49637194646127

Other Identifiers 1

OtherAG1114075NY · Aanp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicoleta V Koschack Np 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 11725 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 16

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

DR. JASON ADAM KLEIN M.D.

Pediatrics (Pediatric Endocrinology)