NICOLETTE TRETHAWAY
NPI 1902192909
General Acute Care Hospital in Brooklyn, NY

Q: What is Nicolette Trethaway's NPI number?

The NPI number for Nicolette Trethaway is 1902192909. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Nicolette Trethaway's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since June 28, 2011PECOS Enrolled

4813 9TH AVE, BROOKLYN, NY 11220(718) 283-7822 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nicolette Trethaway NPPES

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

NICOLETTE TRETHAWAY (NPI 1902192909) is an individual general acute care hospital provider in Brooklyn, New York, licensed in New York (336864) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902192909

Entity TypeIndividualFemale

Primary Taxonomy282N00000X

Provider Legal NameNICOLETTE TRETHAWAY

Location Address4813 9TH AVEBrooklyn, NY 11220-2484

Mailing Address38 Barrow PlStaten Island, NY 10309-1780 · (917) 418-8637

Phone(718) 283-7822

Sole ProprietorYes

Enumeration DateJune 28, 2011

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1902192909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in NY · 336864

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

4813 9TH AVE, Brooklyn, NY 11220

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolette Trethaway 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.

Medicare Billing Reassignments

Medicare enrollment records show Nicolette Trethaway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Faculty Practice Plan

0.1 mi

Internal Medicine

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
1,177 clinicians in this Medicare group

NPI 1053344846 (718) 283-8700

Maimonides Medical Center - Mmc Emergency Physicians Fpp

0.1 mi

Emergency Medicine

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
189 clinicians in this Medicare group

NPI 1982708202 (718) 283-8773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

CHRISTOPHER GLENN SORENSEN FNP

Nurse Practitioner (Family)