Theodore E. Nolan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009006 Issued in NY

Practice address

1 Bridge St
Ardsley, NY 10502-2136

Phone

(914) 693-8787

Fax

(914) 693-8525

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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

• G. F.G Medical, P.C

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1053325894
  NPD (past)
• Greater New York Physical Therapy and Chiropractic PLLC

  • Physical Therapist
  • White Plains, NY
  • NPI 1093094047
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1376570176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022136",
            "telephone_number": "914-693-8787",
            "fax_number": "914-693-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "THEODORE",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Nee, PT
• Emily Denise Neuschotz, MA
• New York Weight Loss & Surgery PC
• Nicholas Donas, M.D., P.L.L.C.
• Stephen R. Noel, D.C.
• Nyfoundling Hosp Aka St Agathas Ardsley Icf
• Erin Lauren O'Connell, M.S
• Brianna Marie Ohici
• Lisa Oicle, LCSW
• Olsl New York Operating Company LLC

• Physician Assistant in Ardsley, NY
• Providers in Ardsley, 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 Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.