NICOLE VASSALLO PA
NPI 1275427619
Physician Assistant in Paterson, NJ

Q: What is Nicole Vassallo's NPI number?

The NPI number for Nicole Vassallo is 1275427619. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Q: What is Nicole Vassallo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Vassallo was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 09, 2025PECOS EnrolledAccepts Medicare Assignment

703 MAIN ST, PATERSON, NJ 07503(973) 754-2000 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Vassallo Pa NPPES

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

NICOLE VASSALLO PA (NPI 1275427619) is an individual physician assistant in Paterson, New Jersey and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275427619

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE VASSALLOCredential: PA

Location Address703 MAIN STPaterson, NJ 07503-2621

Mailing Address703 Main StPaterson, NJ 07503-2621 · (973) 754-2000

Phone(973) 754-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 9, 2025

NPPES CertifiedJune 8, 2025

✔ NPI 1275427619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

703 MAIN ST, Paterson, NJ 07503

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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

Nicole Vassallo Pa 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 ID2062927270

PECOS Enrollment IDI20250716002048

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.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 20

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

DR. SETAREH SHAMS MD

Obstetrics & Gynecology (Obstetrics)