Individual provider Active NPI

Nicole Constance Ayvas, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1831012806
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
159 E 53Rd St FL 5
New York, NY 10022-4602
Phone
(646) 754-3300
NPI assigned
Aug 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

159 E 53Rd St FL 5
New York, NY 10022-4602

Mailing address

655 Lakeview Ave
Rockville Centre, NY 11570-3222
Phone (516) 582-0247

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1831012806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 LAKEVIEW AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703222",
            "telephone_number": "516-582-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 53RD ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224602",
            "telephone_number": "646-754-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYVAS",
        "first_name": "NICOLE",
        "middle_name": "CONSTANCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.