MS. NICOLE DELLAPORTA PA-C
NPI 1164928941
Physician Assistant - Surgical in New York, NY

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
525 E 68TH ST, NEW YORK, NY 10065(212) 932-4000 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nicole Dellaporta Pa-c NPPES

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

MS. NICOLE DELLAPORTA PA-C (NPI 1164928941) is an individual surgical provider in New York, New York, licensed in New York (021928) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164928941
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. NICOLE DELLAPORTACredential: PA-C
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address1575 4th StWest Babylon, NY 11704-4755 · (631) 661-3352
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 2, 2018
NPI 1164928941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 021928
525 E 68TH ST, New York, NY 10065

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Nicole Dellaporta Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840690095
PECOS Enrollment IDI20210610000651
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Surgery
525 E 68TH ST
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
Specialist
525 E 68TH ST
NEW YORK, NY 10065
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065

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 Nicole Dellaporta's NPI number?

The NPI number for Nicole Dellaporta is 1164928941. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Nicole Dellaporta located?

Nicole Dellaporta practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 932-4000.

What is Nicole Dellaporta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Dellaporta enrolled in Medicare?

Yes. Nicole Dellaporta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicole Dellaporta affiliated with any hospitals?

According to CMS data, Nicole Dellaporta is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Dellaporta was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.