MISS NICOLE BOTTINO PA-C
NPI 1982950002
Physician Assistant - Surgical in Boston, MA
NPI Status: Active since July 26, 2012
Contact Information
319 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-3501
Fax: (617) 730-0682
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About NICOLE BOTTINO
This page provides the complete NPI Profile along with additional information for Nicole Bottino, a provider established in Boston, Massachusetts with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1982950002 assigned on July 2012. The practitioner's primary taxonomy code is 363AS0400X with license number 25MP00383500 (NJ). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1982950002
- Provider Name
- MISS NICOLE BOTTINO PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 319 LONGWOOD AVE BOSTON, MA 02115
- Location Phone
- (617) 355-3501
- Location Fax
- (617) 730-0682
- Mailing Address
- 89 FAIRFAX CT MADISON, NJ 07940
- Mailing Phone
- (201) 739-2402
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2012
- Last Update Date
- 06-19-2018
- Code Navigator
Location Map
Secondary Locations
- 319 Longwood Ave
Boston, MA 02115
(617) 355-3501
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 25MP00383500
- License State
- NJ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA4441 (MA) |
Medicare Participation & PECOS Enrollment Status
Nicole Bottino is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 8 | 2 | 9 | 5 | 0 | 0 | 0 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 16 | 2 | 18 | 5 | 0 | 0 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 6 + 2 + 1 + 8 + 5 + 0 + 0 + 0 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1982950002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1326040080 | GARY P KEARNEY MD Individual | Urology | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 277-0100 |
1386646909 | MICHAEL C KEARNEY MD Individual | Urology | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 277-0100 |
1457312472 | ELLEN T GEMINIANI M.D. Individual | Family Medicine | 319 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON, MA 02115 (617) 355-6028 |
1730143264 | DR. AMY L RYAN MD Individual | Pediatrics | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-7318 |
1548224074 | DR. GREGORY J YOUNG MD Individual | Pediatrics | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-7318 |
1780641670 | DR. MARY D SCOTT MD Individual | Pediatrics (Pediatric Endocrinology) | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-7318 |
1407813397 | DR. JOHN P CLOHERTY MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-7318 |
1043277932 | DR. ROBERT S MICHAELS MD Individual | Pediatrics | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-7318 |
1578520466 | DR. LOUIS VERNACCHIO MD, MSC Individual | Pediatrics | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 277-7320 |
1255378899 | CYNTHIA J STEIN M.D. Individual | Internal Medicine (Sports Medicine) | 319 LONGWOOD AVE SPORTS MEDICINE 6TH FLR BOSTON, MA 02115 (617) 355-3501 |
1619917150 | ROBERT C EYRE M.D. Individual | Urology | 319 LONGWOOD AVE 1ST FLOOR BOSTON, MA 02115 (617) 975-2321 |
1801829122 | DR. THOMAS W VORDERER DPM Individual | Podiatrist | 319 LONGWOOD AVE 6TH FLOOR BOSTON, MA 02115 (617) 355-3501 |
1346273687 | DR. LYLE J MICHELI MD Individual | Orthopaedic Surgery | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-3501 |
1952335606 | MICHAEL J O'BRIEN M.D. Individual | Internal Medicine (Sports Medicine) | 319 LONGWOOD AVE 6TH FLOOR BOSTON, MA 02115 (617) 355-3501 |
1316020712 | GIANMICHEL D CORRADO M.D. Individual | Emergency Medicine (Sports Medicine) | 319 LONGWOOD AVE 6TH FLOOR BOSTON, MA 02115 (617) 355-6028 |
1285717801 | DR. ELEANOR R MENZIN MD Individual | Pediatrics | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 355-7318 |
1962561712 | NANCY F BUCHWALD NP Individual | Nurse Practitioner (Pediatrics) | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 277-7320 |
1609935451 | CORINNE K ARRIGHINI NP Individual | Nurse Practitioner (Pediatrics) | 319 LONGWOOD AVE FLOOR 4 BOSTON, MA 02115 (617) 277-7320 |
1942360045 | JOAN E MCMENEMY NP Individual | Nurse Practitioner (Pediatrics) | 319 LONGWOOD AVE BOSTON, MA 02115 (617) 277-7320 |
1730244088 | DZOVIG S ESSAJANIAN LATC Individual | Specialist/Technologist (Athletic Trainer) | 319 LONGWOOD AVE SECOND FLOOR BOSTON, MA 02115 (617) 355-6711 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982950002, enumerated in the NPI registry as an "individual" on July 26, 2012
The provider is located at 319 Longwood Ave Boston, Ma 02115 and the phone number is (617) 355-3501
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on July 26, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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