IndividualActive
Nicklos Blaylock
NPI 1255632675 · Registered Nurse · Bay Shore, NY
Nicklos Blaylock is a Registered Nurse provider in Bay Shore, NY (NPI 1255632675).
Provider details
- NPI number
- 1255632675
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 590968-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% 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
19 20th Ave
Bay Shore, NY 11706-3109
Phone: (631) 328-4292
Fax: (631) 647-4613
Approximate (ZIP-level) locationGet directions
Mailing address
19 20th Ave
Bay Shore, NY 11706-3109
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2010-11-17
Frequently asked questions
- What is Nicklos Blaylock's NPI number?
- Nicklos Blaylock's National Provider Identifier (NPI) is 1255632675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicklos Blaylock's specialty?
- Nicklos Blaylock is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Nicklos Blaylock located?
- Nicklos Blaylock's practice location on file with NPPES is 19 20th Ave, Bay Shore, NY 11706-3109.
- What is Nicklos Blaylock's phone number?
- The practice phone number listed in the NPPES registry for Nicklos Blaylock is (631) 328-4292.
- Is Nicklos Blaylock's NPI active?
- Yes — Nicklos Blaylock's NPI (1255632675) is active in the NPPES registry as of the last update on 2010-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.