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

STEPHANIE MARIKA NICOLETTE PA-C
NPI 1508789405
Physician Assistant in Nesconset, NY

Active since July 30, 2026
15 DIANE CT, NESCONSET, NY 11767(631) 742-8545 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Marika Nicolette Pa-c NPPES

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

STEPHANIE MARIKA NICOLETTE PA-C (NPI 1508789405) is an individual physician assistant in Nesconset, New York, licensed in New York (036232) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1508789405
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE MARIKA NICOLETTECredential: PA-C
Location Address15 DIANE CTNesconset, NY 11767-1803
Mailing Address15 Diane CtNesconset, NY 11767-1803
Phone(631) 742-8545
Sole ProprietorNo
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1508789405 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 · 036232
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.
15 DIANE CT, Nesconset, NY 11767
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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 Stephanie Nicolette's NPI number?

The NPI number for Stephanie Nicolette is 1508789405. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Stephanie Nicolette located?

Stephanie Nicolette practices at 15 Diane Ct, Nesconset, NY 11767. The listed phone number is (631) 742-8545.

What is Stephanie Nicolette'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 Stephanie Nicolette was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.