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

Nicole Golbari

Individual provider Dermatology Physician · NPI 1255891016

Nicole Golbari is a Dermatology in Port Jefferson, New York. Qualified in 2019, 7 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
3

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-2517
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 333046 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 333046 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255891016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare