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

Nicole Ilonzo

Individual provider Vascular Surgery Physician · NPI 1528486503

Nicole Ilonzo is a Vascular Surgery in Brooklyn, New York. Qualified in 2014, 12 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-3288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 301122 (NY)

Record details

NPI number1528486503
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2014
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address1000 10th Ave, New York, NY 10019-1147

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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