Nicholas James Ticali, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

033978 Issued in NY

Practice address

3671 Broadway
New York, NY 10031-1503

Phone

(212) 933-1386

NPI assigned

Jul 21, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• City Medical Healthcare Associates PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1093357568
  Medicare reassignment NPD

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1194617381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MIDLAWN DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581930",
            "telephone_number": "516-710-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311503",
            "telephone_number": "212-933-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 E 156th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104551714",
            "country_code": "US",
            "telephone_number": "718-665-0223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 E 138th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104543041",
            "country_code": "US",
            "telephone_number": "718-292-6144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICALI",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Tibor III
• Alondra Del Carmen Tiburcio-Brito, LMSW
• Luisa Rosmery Tiburcio, LMT
• Melie Simon Tiburcio, FNP
• Saliany Tiburcio
• Caroline Nomi Tichenor
• Wellington Shelton Tichenor, M.D.
• Carol Tichler, CSW
• Aleksandr Manfred Tichter, M.D.
• Satish K Tickoo, MD

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.