1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Physician Assistant
  6. NPI Profile

NICHOLAS JAMES TICALI PA-C
NPI 1194617381
Physician Assistant in New York, NY

Active since July 21, 2025PECOS Enrolled
3671 BROADWAY, NEW YORK, NY 10031(212) 933-1386 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas James Ticali Pa-c NPPES

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

NICHOLAS JAMES TICALI PA-C (NPI 1194617381) is an individual physician assistant in New York, New York, licensed in New York (033978) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194617381
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS JAMES TICALICredential: PA-C
Location Address3671 BROADWAYNew York, NY 10031-1503
Mailing Address11 Midlawn DrMassapequa, NY 11758-1930 · (516) 710-0820
Phone(212) 933-1386
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 21, 2025
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1194617381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 033978
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3671 BROADWAY, New York, NY 10031
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1423 E 138th StBronx, NY 10454-3041 · Phone (718) 292-6144
Location 2814 E 156th StBronx, NY 10455-1714 · Phone (718) 665-0223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas James Ticali Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446747067
PECOS Enrollment IDI20251016000893
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

WASHINGTON HEIGHTS NP IN WOMEN'S HEALTH SERVICES,P.C.
Obstetrics & Gynecology
3671 BROADWAY, UNIT 3
NEW YORK, NY 10031
New York County (917) 504-2410
CHRISTIAN MARTINEZ PA-C
Physician Assistant
3671 BROADWAY
NEW YORK, NY 10031
New York County (212) 933-1386
WASHINGTON HEIGHTS NP IN WOMEN'S HEALTH SERVI
Nurse Practitioner (Obstetrics & Gynecology)
3671 BROADWAY, SUITE 3
NEW YORK, NY 10031
New York County (646) 918-7770
MISS SAM YEE WU N.P.
Nurse Practitioner (Adult Health)
3671 BROADWAY, SUITE 3
NEW YORK, NY 10031
New York County (646) 918-7770
JENNA SOOD CNM
Advanced Practice Midwife
3671 BROADWAY, APT 28
NEW YORK, NY 10031
New York County (203) 570-4239

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 Nicholas Ticali's NPI number?

The NPI number for Nicholas Ticali is 1194617381. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Nicholas Ticali located?

Nicholas Ticali practices at 3671 Broadway, New York, NY 10031. The listed phone number is (212) 933-1386.

What is Nicholas Ticali's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Ticali enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicholas Ticali was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.