Nicolas Gillingham, MD
NPI 1609338292ActiveIndividual· Radiology, Diagnostic Radiology· Mineola, NY
Radiology, Diagnostic Radiology (MD) in Mineola, New York, trained at New York University School of Medicine (class of 2019). Enrolled in Medicare as practitioner - diagnostic radiology.
Overview
| NPI | 1609338292 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 2, 2019 |
| Last updated in NPPES | Jun 9, 2025 |
| Certified by provider | Jun 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 321734 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (NY) |
|---|
Education and affiliations
| Medical school | New York University School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- North Shore Hematology Oncology Associates PCPort Jefferson Station, NY · 479 clinicians
- Main Street Radiology at Bayside LLCRidgefield, CT · 56 clinicians
- Radiology Associates of Main Street PCRidgefield, CT · 52 clinicians
- Sunset Park Radiology PCBrooklyn, NY · 33 clinicians
Hospital affiliation
- New York-Presbyterian/QueensFlushing, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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