Active NPI
Penelope A. McNicholas, RPA-C
- Physician Assistant
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005528
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-2727
- Fax
- (516) 663-8549
- NPI assigned
- Jun 16, 2006
- Last updated
- Oct 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005528 | NY | Primary |
| Physician Assistant | 363A00000X | 25MP00447600 | NJ |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
700 Hicksville Rd Ste 204
Bethpage, NY 11714-3472
Phone (516) 576-5812
Other practice location 1
2317 Route 22 Ctr
Union, NJ 07083-8558
Phone (201) 354-1951
Other practice location 2
1345 Avenue Of The Americas
New York, NY 10105-0302
Phone (844) 824-8963
Other names 1
- Ms. Penelope A Murray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients |
Locations
506 Westport Ave
Norwalk, CT 06851
Phone (203) 706-4170
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
300 Community Dr
Manhasset, NY 11030
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Interoperability endpoints
- penelope.mcnicholas.1@2983.direct.athenahealth.com
- penelope.mcnicholas.2@2983.direct.athenahealth.com
Organizations & group practices 12
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.
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Urgent Care Clinic/Center
- Norwalk, CT
- NPI 1851132831
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
dba St. Francis Hospitalists
- General Acute Care Hospital
- Roslyn, NY
- NPI 1760704811
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- Huntington, NY
- NPI 1922556513
-
dba St Francis Ekg
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1528386810
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1801830013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HICKSVILLE RD STE 204",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143472",
"telephone_number": "516-576-5812",
"fax_number": "516-576-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-2727",
"fax_number": "516-663-8549"
}
],
"practiceLocations": [
{
"address_1": "2317 Route 22 Ctr",
"address_purpose": "LOCATION",
"city": "Union",
"state": "NJ",
"postal_code": "070838558",
"country_code": "US",
"telephone_number": "201-354-1951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 Avenue Of The Americas",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101050302",
"country_code": "US",
"telephone_number": "844-824-8963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNICHOLAS",
"first_name": "PENELOPE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005528",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00447600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PENELOPE",
"last_name": "MURRAY",
"middle_name": "A",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.