NICO PA PC
NPI 1497930531
Physician Assistant - Surgical in Port Washington, NY

Active since January 08, 2008
14 KIRKWOOD RD, 2ND FLOOR, PORT WASHINGTON, NY 11050(917) 388-7644 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nico Pa Pc NPPES

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

NICO PA PC (NPI 1497930531) is a healthcare organization registered as a surgical in Port Washington, New York and active in the NPI registry since January 2008. The organization lists Nick N Nicoloff, Sole Proprieter, as its authorized official.

NPPES Registry Identity

NPI1497930531
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameNICO PA PC
Location Address14 KIRKWOOD RD, 2ND FLOORPort Washington, NY 11050-1437
Mailing Address127 S BroadwayYonkers, NY 10701-4006 · (917) 388-7644
Organization SubpartNo
Authorized OfficialNick N NicoloffSole Proprieter · (917) 388-7644
Enumeration DateJanuary 8, 2008
NPI 1497930531 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 · 009001
14 KIRKWOOD RD, Port Washington, NY 11050

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Specialist
14 KIRKWOOD RD
PORT WASHINGTON, NY 11050

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 Nico PA PC's NPI number?

The NPI number for Nico PA PC is 1497930531. It was assigned to this organization in the NPPES registry on January 8, 2008.

Where is Nico PA PC located?

Nico PA PC is located at 14 Kirkwood Rd 2nd Floor, Port Washington, NY 11050. The listed phone number is (917) 388-7644.

What is Nico PA PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nico PA PC was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.