Active NPI
Nycole Brong, PA
- Physician Assistant
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008156
- Practice address
- 207 Commerce Dr
Amherst, NY 14228-2302 - Phone
- (716) 689-1901
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008156 | NY | Primary |
Addresses
Primary practice location
207 Commerce Dr
Amherst, NY 14228-2302
Mailing address
462 Grider St
Erie County Medical Center
Buffalo, NY 14215-3021
Phone (716) 898-3525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02343795 | Medicaid | NY |
Other names 1
- Nycole Agnello
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 S Cascade Dr
Springville, NY 14141-9275
Phone (716) 599-1163
3450 Union Rd
Cheektowaga, NY 14225-5120
Phone (716) 395-2043
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
4827 Transit Rd
Depew, NY 14043-4788
Phone (716) 771-3394
4923 Southwestern Blvd
Hamburg, NY 14075-2616
Phone (716) 926-6358
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790765741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"address_2": "ERIE COUNTY MEDICAL CENTER",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 COMMERCE DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282302",
"telephone_number": "716-689-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONG",
"first_name": "NYCOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02343795",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NYCOLE",
"last_name": "AGNELLO",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.