Individual
DR. JOHN J NOBILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 W 35TH ST FL 7, FLOOR 7, NEW YORK, NY 10001-2111
(212) 475-8066
(212) 475-4175
Mailing address
131 W 35TH ST FL 7, FLOOR 7, NEW YORK, NY 10001-2111
(212) 475-8066
(212) 475-4175
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
155591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00931159
—
NY
01
—
0149041
GHI PPO
NY
01
—
01HCQV
GHI/MEDICARE
NY
01
—
060012676
RR MEDICARE ID #
NY
01
—
0858495
AETNA HMO ID #
NY
01
—
132789080
TAX IDENTIFICATION #
NY
01
—
41D363
EMPIRE BCBS
NY
01
—
4238591
AETNA PPO ID #
NY
05
—
A400057743
—
NY
01
—
CF7168
RR MEDICARE GROUP #
NY
01
—
DO0835
OXFORD ID #
NY
01
—
NJ5591
ATLANTIS HEALTH PLAN
NY
Enumeration date
05/23/2006
Last updated
09/19/2016
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