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LAURA B NIMKOFF M.D.
NPI 1902802291
Pediatrics - Pediatric Critical Care Medicine in West Islip, NY

Active since June 22, 2005PECOS Enrolled
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000(631) 244-8560 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura B Nimkoff M.d. NPPES

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

LAURA B NIMKOFF M.D. (NPI 1902802291) is an individual pediatric critical care medicine provider in West Islip, New York, licensed in New York (171491) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902802291
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameLAURA B NIMKOFFCredential: M.D.
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · (631) 376-3000 · Fax (631) 244-8560
Phone(631) 376-3000
Fax(631) 244-8560
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateJanuary 30, 2008
✔ NPI 1902802291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 171491
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
1000 MONTAUK HWY, West Islip, NY 11795
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Other Identifiers 4

Medicare UPINF61143NY
Medicare ID-Type Unspecified66X501NY · Medicare Provider #
Medicaid01506629NY
Other170Y61NY · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura B Nimkoff M.d. 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.

DR. ANTHONY NGUYEN MD
Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
LAUREN MARIE CHOBAN DO
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
MISS MUNMUN AZIZ MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (929) 340-5665
TERENCE JAMES OMALLEY MD
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Suffolk County (631) 376-4088
PIOTR PAPUZINSKI MD
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
LAURIE WATERS PA
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
SHELLEY MATSON RN
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
RIDDA MANZOOR MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163

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 Laura Nimkoff's NPI number?

The NPI number for Laura Nimkoff is 1902802291. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Laura Nimkoff located?

Laura Nimkoff practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Laura Nimkoff's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Laura Nimkoff enrolled in Medicare?

Yes. Laura Nimkoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Nimkoff was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.