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Export Provider Record NPI 1073900940
Nicolina Marie WawrinMD
Active
NPI Number1073900940
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1073900940
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2015-04-18
Last Updated2023-07-09
Mailing Address2825 Jackson Ave Fl 2
Long Island City, NY 11101-2920
United States
Phone: (646) 962-4170
📍 View Map
Primary Practice Address2825 Jackson Ave Fl 2
Long Island City, NY 11101-2920
United States
Phone: (646) 962-4170
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsNY293684
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About NPI 1073900940

Nicolina Marie Wawrin MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073900940. The primary specialty listed is Pediatrics. The provider is located in Long Island City, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-04-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073900940?

NPI 1073900940 belongs to Nicolina Marie Wawrin MD, a Pediatrics in Long Island City, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073900940 active?

The current status of NPI 1073900940 in the NPPES registry is Active. The record was last updated on 2023-07-09.

What specialty is NPI 1073900940?

NPI 1073900940 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073900940?

You can verify NPI 1073900940 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073900940?

The primary practice address on file for NPI 1073900940 is 2825 Jackson Ave Fl 2, Long Island City, NY 11101-2920. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073900940 issued?

NPI 1073900940 was first issued (enumerated) on 2015-04-18. The NPPES record was last updated on 2023-07-09.

Practice Location Map

Nicolina Marie Wawrin is located at 2825 Jackson Ave Fl 2, Long Island City, NY. Use the map below to find directions or verify the practice location.

📍 2825 Jackson Ave Fl 2, Long Island City, NY 11101-2920  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nicolina Marie Wawrin. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073900940. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics293684NY
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162