Individual provider Active NPI

Nicholas Gerard Honor, PA-C

  • Physician Assistant
  • Middle Village, NY
National Provider Identifier
1821799438
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029749 Issued in NY
Practice address
6122G Fresh Pond Rd
Middle Village, NY 11379-1040
Phone
(718) 502-3000
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 029749 NY
Physician Assistant 363A00000X 029749 NY Primary

Addresses

Primary practice location

6122G Fresh Pond Rd
Middle Village, NY 11379-1040

Mailing address

32 Montclair Dr
Selden, NY 11784-1809
Phone (631) 626-9608

Other practice location 1

1811 Avenue J
Brooklyn, NY 11230-3808
Phone (718) 819-6780

Other practice location 2

5022 Fort Hamilton Pkwy
Brooklyn, NY 11219-3324
Phone (718) 635-9700

Other practice location 3

626 Sheepshead Bay Rd
Brooklyn, NY 11224-3621
Phone (718) 215-7340

Other practice location 4

1957 Flatbush Ave
Brooklyn, NY 11234-2819
Phone (718) 750-8830

Other practice location 5

2715 30th Ave
Long Island City, NY 11102-2445
Phone (718) 685-2300

Other practice location 6

2 W 86th St
New York, NY 10024-3666
Phone (212) 227-5400

Other practice location 7

846 Concourse Vlg E
Bronx, NY 10451-3701
Phone (718) 568-8200

Other practice location 8

26 E 125th St
New York, NY 10035-1817
Phone (646) 814-8780

Other practice location 9

29 Newkirk Plz
Brooklyn, NY 11226-6525
Phone (718) 750-8840

Other practice location 10

1202 Elton St
Brooklyn, NY 11239-5831
Phone (718) 307-5737

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511001532 NY Practitioner - Physician Assistant 4688030992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumaiyah Medical PCGroup PAC ID 2567630213, 6 clinicians
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1 Somerset St
Huntington Station, NY 11746-8411
Phone (631) 271-3075

50 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 399-3068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Jan 9, 2026 Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

50 E Jericho Tpke
Mineola, NY 11501
Phone (516) 399-3068

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

243 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 537-9063

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1821799438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MONTCLAIR DR",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841809",
            "telephone_number": "631-626-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122G FRESH POND RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791040",
            "telephone_number": "718-502-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Avenue J",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112303808",
            "country_code": "US",
            "telephone_number": "718-819-6780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5022 Fort Hamilton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112193324",
            "country_code": "US",
            "telephone_number": "718-635-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 Sheepshead Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112243621",
            "country_code": "US",
            "telephone_number": "718-215-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1957 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112342819",
            "country_code": "US",
            "telephone_number": "718-750-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111022445",
            "country_code": "US",
            "telephone_number": "718-685-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W 86th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100243666",
            "country_code": "US",
            "telephone_number": "212-227-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "846 Concourse Vlg E",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104513701",
            "country_code": "US",
            "telephone_number": "718-568-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 E 125th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100351817",
            "country_code": "US",
            "telephone_number": "646-814-8780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Newkirk Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112266525",
            "country_code": "US",
            "telephone_number": "718-750-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Elton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112395831",
            "country_code": "US",
            "telephone_number": "718-307-5737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONOR",
        "first_name": "NICHOLAS",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "029749",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.