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

Mark Nistico, RN

Individual provider General Practice Registered Nurse · NPI 1225650849

Mark Nistico, RN is a General Practice Registered Nurse in Malta, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

23 Mayapple Way
Malta, NY 12020-4390
Phone: (518) 818-4492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 623-121 (NY)

Record details

NPI number1225650849
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020
Mailing address23 Mayapple Way, Malta, NY 12020-4390