Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irisi Nikolla, NP

Individual provider Registered Nurse · NPI 1184968430

Irisi Nikolla, NP is a Nurse Practitioner in Staten Island, New York. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

129 Seneca St
Staten Island, NY 10310-2333
Phone: (347) 216-7632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1911 Bay Ridge Pkwy, Brooklyn, NY 11204-5719 — (347) 216-7632

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0000000 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 664266 (NY)

Record details

NPI number1184968430
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 26, 2012
Last updated in NPPESSeptember 5, 2023
Certification dateJuly 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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