IndividualActive
Nicole Pankin
NPI 1043859879 · Specialist · Fresh Meadows, NY
Nicole Pankin is a Specialist provider in Fresh Meadows, NY (NPI 1043859879).
Provider details
- NPI number
- 1043859879
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6143 186th St
Fresh Meadows, NY 11365-2710
Phone: (929) 200-7105
Street-level locationGet directions
Mailing address
650 W 171st St Apt 3c
New York, NY 10032-3130
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
- Certified
- 2019-12-26
Frequently asked questions
- What is Nicole Pankin's NPI number?
- Nicole Pankin's National Provider Identifier (NPI) is 1043859879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Pankin's specialty?
- Nicole Pankin is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nicole Pankin located?
- Nicole Pankin's practice location on file with NPPES is 6143 186th St, Fresh Meadows, NY 11365-2710.
- What is Nicole Pankin's phone number?
- The practice phone number listed in the NPPES registry for Nicole Pankin is (929) 200-7105.
- Is Nicole Pankin's NPI active?
- Yes — Nicole Pankin's NPI (1043859879) is active in the NPPES registry as of the last update on 2019-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.