Healthcare Provider Details

I. General information

NPI: 1831002013
Provider Name (Legal Business Name): NICHOLAS R COX NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 STEWART AVE STE 105
WESTBURY NY
11590-6611
US

IV. Provider business mailing address

70 HERBERT AVE
ELMONT NY
11003-1253
US

V. Phone/Fax

Practice location:
  • Phone: 516-833-5535
  • Fax:
Mailing address:
  • Phone: 516-833-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF433655-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: