NOELLE NISCO NPI 1619701620

NPI Information

  • NPI: 1619701620
  • Provider Name: NOELLE NISCO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 475 ATLANTIC AVE STE 2
    BROOKLYN, NY
    ZIP 11217
  • Phone: (917) 246-7498

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NPI Details

Noelle Nisco is a family nurse practitioner in Brooklyn, NY with 2 years of experience. Noelle Nisco NPI is 1619701620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

475 ATLANTIC AVE STE 2
BROOKLYN, NY
ZIP 11217-383
Phone: (917) 246-7498

The NPI 1619701620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2024 and was last updated on 4/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse954558NEW YORKNo
2163W00000XRegistered Nurse95381021CALIFORNIANo
3163W00000XRegistered NurseRN323785GEORGIANo
4363LF0000XNurse PractitionerFamily356143NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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