Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE TUDOR PA-C
NPI 1396650909
Physician Assistant in New York, NY

Active since August 18, 2026
800 2ND AVE FL 9, NEW YORK, NY 10017(212) 991-9991 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Tudor Pa-c NPPES

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

NICOLE TUDOR PA-C (NPI 1396650909) is an individual physician assistant in New York, New York, licensed in New York (036286) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1396650909
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE TUDORCredential: PA-C
Location Address800 2ND AVE FL 9New York, NY 10017-4709
Mailing Address107 Liberty StDeer Park, NY 11729-2717
Sole ProprietorNo
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
NPI 1396650909 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 · 036286
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.
800 2ND AVE FL 9, New York, NY 10017

Other Providers at the Same Location NPPES 11

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

Physician Assistant
800 2ND AVE FL 9
NEW YORK, NY 10017
Physician Assistant
800 2ND AVE FL 9
NEW YORK, NY 10017
Durable Medical Equipment & Medical Supplies
800 2ND AVE FL 9
NEW YORK, NY 10017
Nurse Practitioner (Women's Health)
800 2ND AVE FL 9
NEW YORK, NY 10017
Obstetrics & Gynecology (Gynecology)
800 2ND AVE FL 9
NEW YORK, NY 10017
Nurse Practitioner (Adult Health)
800 2ND AVE FL 9
NEW YORK, NY 10017
Physical Therapist
800 2ND AVE FL 9
NEW YORK, NY 10017
Clinic/Center (Physical Therapy)
800 2ND AVE FL 9
NEW YORK, NY 10017

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 Tudor's NPI number?

The NPI number for Nicole Tudor is 1396650909. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Nicole Tudor located?

Nicole Tudor practices at 800 2nd Ave Fl 9, New York, NY 10017. The listed phone number is (212) 991-9991.

What is Nicole Tudor's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Tudor was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.