Theresa Jeanne Nicosia, RNMSFNP
Theresa Jeanne Nicosia, RNMSFNP is a Nurse Practitioner in Lake Grove, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2003, 23 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 23
- Trained at
- State University of New York at Stony Brook, School of Medicine
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
6 Park View LnLake Grove, NY 11755-1854 Not confirmed with CMS for 10 years — call before visiting
Phone: (631) 467-8229
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F334231-1 (NY) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence F334231 (NY) |
Record details
| NPI number | 1710077821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RNMSFNP |
| Sole proprietor | No |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | May 10, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduated | 2003 (23 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 84 |
| Average patient age | 81 |
Payments from drug and device companies, 2025
| Food and Beverage | $1,267 |
|---|
Practises at
- John T Mather Memorial Hospital Of Port Jefferson Hospital · Port Jefferson, NY · listed as John T. Mather Memorial Hospital
Colleagues at North Shore-Lij Medical PC
- Dr. Priya Agarwala, MD Pulmonary Disease Physician · Mineola, NY
- Dr. Gina Coscia, MD Pediatrics Physician · Great Neck, NY
- Dr. Laura Jean Fil, DO, MS Emergency Medicine Physician · West Islip, NY
- Kelly Fiore, MD Psychiatry Physician · Glen Oaks, NY
- Jennifer Fox Registered Dietitian · Sleepy Hollow, NY
- Dr. Andrew David Goodwillie, MD Sports Medicine (Orthopaedic Surgery) Physician · Great Neck, NY
- Brent Gottesman, MD Emergency Medicine Physician · Manhasset, NY
- Dr. Marisa Ip, MD Internal Medicine Physician · Roslyn Heights, NY
- Michael Konig, DO Student in an Organized Health Care Education/Training Program · Brooklyn, NY
- Dr. Lydia Adel Makaryus, DO Child & Adolescent Psychiatry Physician · Garden City, NY
- Melissa Diane Mattimore I, RN, ACNP Acute Care Nurse Practitioner · New York, NY
- Oana Vele Molecular Genetic Pathology (Medical Genetics) Physician · Stanford, CA
Other providers in Lake Grove
-
Lauren Kollar
4 Smith Haven Mall Ste 112, Lake Grove, NY 11755-1251 · (631) 444-4686
-
Mrs. Lucille Lore, MSNFNP
2995 Middle Country Rd, Lake Grove, NY 11755-2138 · (631) 972-5997
-
Lucille Lore, NP in Family Health, PLLC
2995 Middle Country Rd, Lake Grove, NY 11755-2138 · (631) 615-7260