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MS. NICOLE RASTETTER
NPI 1780133561
Specialist in Staten Island, NY

Active since September 22, 2016
792 SHELDON AVE, STATEN ISLAND, NY 10309(718) 948-8702 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nicole Rastetter NPPES

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

MS. NICOLE RASTETTER (NPI 1780133561) is an individual specialist in Staten Island, New York, licensed in New York (1075674161) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1780133561
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. NICOLE RASTETTER
Location Address792 SHELDON AVEStaten Island, NY 10309-2445
Mailing Address792 Sheldon AveStaten Island, NY 10309-2445 · (718) 948-8702
Phone(718) 948-8702
Sole ProprietorYes
Enumeration DateSeptember 22, 2016
✔ NPI 1780133561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NY · 1075674161✔ Licensed in NY · 1018126161
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
792 SHELDON AVE, Staten Island, NY 10309
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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 Rastetter's NPI number?

The NPI number for Nicole Rastetter is 1780133561. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Nicole Rastetter located?

Nicole Rastetter practices at 792 Sheldon Ave, Staten Island, NY 10309. The listed phone number is (718) 948-8702.

What is Nicole Rastetter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Nicole Rastetter was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.