NICOLE CIMINO-NARDOLILLO PA
NPI 1891071544
Physician Assistant - Medical in Port Jefferson, NY

Q: What is Nicole Cimino-nardolillo's NPI number?

The NPI number for Nicole Cimino-nardolillo is 1891071544. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Q: What is Nicole Cimino-nardolillo's specialty?

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

Active since October 26, 2011PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

125 OAKLAND AVE, SUITE 204, PORT JEFFERSON, NY 11777(631) 686-2524(631) 686-2526 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Cimino-nardolillo Pa NPPES

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

NICOLE CIMINO-NARDOLILLO PA (NPI 1891071544) is an individual medical provider in Port Jefferson, New York, licensed in New York (7131506) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1891071544

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE CIMINO-NARDOLILLOCredential: PA

Location Address125 OAKLAND AVE, SUITE 204Port Jefferson, NY 11777-2130

Mailing Address125 Oakland Ave, Suite 204Port Jefferson, NY 11777-2130 · (631) 686-2524 · Fax (631) 686-2526

Phone(631) 686-2524

Fax(631) 686-2526

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 26, 2011

Last NPPES UpdateJune 6, 2016

✔ NPI 1891071544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 7131506

125 OAKLAND AVE, Port Jefferson, NY 11777

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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 and accepts Medicare assignment

Nicole Cimino-nardolillo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810298122

PECOS Enrollment IDI20151210000963

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

72 services51 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services48 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services25 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

22 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services18 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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Other Providers at the Same Location NPPES 12

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

DR. ANZHELIKA VACCARO MD

Ophthalmology

125 OAKLAND AVE, SUITE 101
PORT JEFFERSON, NY 11777

Suffolk County (631) 828-7100

DR. JESSICA LYNN BLYDENBURGH D.O.

Family Medicine

125 OAKLAND AVE
PORT JEFFERSON, NY 11777

Suffolk County (631) 736-1311

FAMILY MEDICAL WELLNESS PC

Family Medicine

125 OAKLAND AVE, STE 203
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-9326

PAUL FRITZ MD

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-3122

JULIET A NICOLESCU-NICHOLS MD

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-3122

MATHER PRIMARY CARE, PLLC

Family Medicine

125 OAKLAND AVE, SUITE 205
PORT JEFFERSON, NY 11777

Suffolk County (631) 686-2523

ANNA MCKAY LCSW

Social Worker (Clinical)

125 OAKLAND AVE
PORT JEFFERSON, NY 11777

Suffolk County (631) 729-2140

SYED K HUSSAINI M.D

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-3122

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 Cimino-nardolillo's NPI number?

The NPI number for Nicole Cimino-nardolillo is 1891071544. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Nicole Cimino-nardolillo located?

Nicole Cimino-nardolillo practices at 125 Oakland Ave Suite 204, Port Jefferson, NY 11777. The listed phone number is (631) 686-2524.

What is Nicole Cimino-nardolillo's specialty?

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

Is Nicole Cimino-nardolillo enrolled in Medicare?

Yes. Nicole Cimino-nardolillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicole Cimino-nardolillo affiliated with any hospitals?

According to CMS data, Nicole Cimino-nardolillo is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Nicole Cimino-nardolillo was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.