DAVID NICHOLAS DO
NPI 1013656933
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since May 31, 2022PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-4363 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Nicholas Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID NICHOLAS DO (NPI 1013656933) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013656933
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID NICHOLASCredential: DO
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-1834 · (315) 464-4363 · Fax (315) 464-4854
Sole ProprietorNo
Enumeration DateMay 31, 2022
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1013656933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 342962 (NY)
750 E ADAMS ST, Syracuse, NY 13210

Secondary Practice Locations 2

Location 133-57 Harrison StJohnson City, NY 13790-2107 · Phone (607) 763-6412
Location 2Baystate Medical Center 759 Chestnut StreetSpringfield, MA 01199-0001 · Phone (607) 221-9348

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Nicholas Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Nicholas's NPI number?

The NPI number for David Nicholas is 1013656933. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is David Nicholas located?

David Nicholas practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4363.

What is David Nicholas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Nicholas enrolled in Medicare?

Yes. David Nicholas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Nicholas was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.