Nicole Cohen Stollman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

026627 Issued in NY

Practice address

161 Atlantic Ave Ste 202
Brooklyn, NY 11201-6720

Phone

(212) 430-6677

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

Opted out of Medicare

Yes, effective Feb 19, 2026 through Feb 19, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Ageless Men'S Health

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1891080800
  NPD (past)
• Ageless Men'S Health Holdings, PC Ca

  • Primary Care Clinic/Center
  • Staten Island, NY
  • NPI 1235581430
  NPD (past)
• Ageless Men'S Health PC

  • Nurse Practitioner
  • New York, NY
  • NPI 1679837751
  NPD (past)
• Ageless Men'S Health PC

  • Primary Care Clinic/Center
  • White Plains, NY
  • NPI 1801463401
  NPD (past)
• MVC Az

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1477256063
  NPD (past)
• MVC CT

  • Surgery Physician
  • Stamford, CT
  • NPI 1487397600
  NPD (past)
• MVC PA PLLC

  • Surgery Physician
  • Trevose, PA
  • NPI 1669930798
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1497212484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 ATLANTIC AVE STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016720",
            "telephone_number": "212-430-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ATLANTIC AVE STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016720",
            "telephone_number": "212-430-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Clinton St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014601",
            "country_code": "US",
            "telephone_number": "212-430-6677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Canton Rd NE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608949",
            "country_code": "US",
            "telephone_number": "678-741-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 57th St Rm 202",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100222645",
            "country_code": "US",
            "telephone_number": "646-921-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLLMAN",
        "first_name": "NICOLE",
        "middle_name": "COHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2025-05-09",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "45876",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "026627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gitty Stolik, MS SP ED
• Hannah Stolik
• Galina Stolina, M.D.
• Maya Stolkiner, LCSW
• Lea Stoll
• Tyler Ian Stollman, MD
• Yacov Ronald Stollman, MD
• Levi Max Stolove, LCSW
• Magali Stolovitsky Colb, MS, CCC-SLP
• Celina Stolpen

• All providers in Brooklyn, NY
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.