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

Nicole Ladd, CPNP

Individual provider Registered Nurse · NPI 1861625790

Nicole Ladd, CPNP is a Nurse Practitioner in Sayville, New York. Qualified in 2008, 18 years ago. Practices with Neurology Associates of Stony Brook, University Faculty Practice Corpo, a 57-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

285 W Main St Ste 104
Sayville, NY 11782-2540
Phone: (631) 563-8190
Fax: (631) 563-8194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 381989 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 542820 (NY)

Record details

NPI number1861625790
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESOctober 7, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Neurology Associates Of Stony Brook, University Faculty Practice Corpo — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sayville