Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 155591 | NY |
NPI | 1003861725 |
---|---|
Provider Name | Dr. John J Nobile |
First Address | New York, NY 10001-2111 |
Second Address | New York, NY 10001-2111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 19/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00931159 | (05) | NY |
0149041 | GHI PPO (01) | NY |
01HCQV | GHI/MEDICARE (01) | NY |
060012676 | RR MEDICARE ID # (01) | NY |
0858495 | AETNA HMO ID # (01) | NY |
132789080 | TAX IDENTIFICATION # (01) | NY |
41D361 | (02) | NY |
41D363 | EMPIRE BCBS (01) | NY |
4238591 | AETNA PPO ID # (01) | NY |
A400057743 | (05) | NY |
A62659 | (02) | NY |
CF7168 | RR MEDICARE GROUP # (01) | NY |
DO0835 | OXFORD ID # (01) | NY |
NJ5591 | ATLANTIS HEALTH PLAN (01) | NY |