Nico PA PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

009001 Issued in NY

Legal business name

NICO PA PC

Practice address

14 Kirkwood Rd
2ND Floor
Port Washington, NY 11050-1437

Phone

(917) 388-7644

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Nick N Nicoloff

Title

Sole Proprieter

Phone

(917) 388-7644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1497930531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "917-388-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KIRKWOOD RD",
            "address_2": "2ND FLOOR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501437",
            "telephone_number": "917-388-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICO PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "NICOLOFF",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "917-388-7644"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Neuman, CSW
• John Neuman, PT, DPT
• Richard Harold Neuman, RPH, MPS
• Cassandra Newby
• Nicholas Center
• Nicole Brill LCSW-R
• Nomi Rinke LCSW P.C.
• Mary C Noonan, RPA-C
• North Coast Medical Associates PLLC
• North Shore Podiatric Foot Care Consultant PC

• Surgical Physician Assistant in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.