Provider Demographics
NPI:1720028061
Name:PAPAPIETRO, NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:PAPAPIETRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95000-2449
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2449
Mailing Address - Country:US
Mailing Address - Phone:718-752-7582
Mailing Address - Fax:718-752-1837
Practice Address - Street 1:132 GREENPOINT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2274
Practice Address - Country:US
Practice Address - Phone:718-752-7582
Practice Address - Fax:718-752-1837
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195188207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01810351Medicaid
NY725301Medicare ID - Type UnspecifiedPROVIDER NUMBER
NYG66061Medicare UPIN