Individual provider Active NPI

Nicolette Kylie Milligan, PA

  • Physician Assistant
  • Troy, NY
National Provider Identifier
1073456166
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2200 Burdett Ave
Troy, NY 12180-2487
Phone
(518) 272-0234
NPI assigned
Apr 13, 2026
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2200 Burdett Ave
Troy, NY 12180-2487

Mailing address

187 Highway 36 Ste 230
West Long Branch, NJ 07764-1306
Phone (732) 702-1039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC CurrentSince Aug 4, 2026 Accepting new patients
Upstate Gastroenterology Associates, PC PastSince Aug 4, 2026 Accepting new patients

Locations

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

2200 Burdett Ave
Troy, NY 12180
Phone (518) 272-0234

2200 Burdett Ave
Ste 201
Troy, NY 12180
Phone (518) 272-0234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1073456166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HIGHWAY 36 STE 230",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641306",
            "telephone_number": "732-702-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802487",
            "telephone_number": "518-272-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "NICOLETTE",
        "middle_name": "KYLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.