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JACLYN ANNE NICOLIA
NPI 1558819680
Physician Assistant - Medical in New York, NY

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
525 E 68TH ST, NEW YORK, NY 10065(845) 926-4968 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2018, Sep 19, 2016 (2 updates tracked since 2016).

About Jaclyn Anne Nicolia NPPES

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

JACLYN ANNE NICOLIA (NPI 1558819680) is an individual medical provider in New York, New York and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558819680
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACLYN ANNE NICOLIA
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address333 E 49th St, Apt. 2hNew York, NY 10017-1680 · (631) 278-2599
Phone(845) 926-4968
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateJanuary 16, 20182 updates tracked since enumeration
✔ NPI 1558819680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
525 E 68TH ST, New York, NY 10065
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Other Identifiers 1

Medicaid1558819680NY

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

Jaclyn Anne Nicolia 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 ID2567742323
PECOS Enrollment IDI20170412000603
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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

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. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

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 Jaclyn Nicolia's NPI number?

The NPI number for Jaclyn Nicolia is 1558819680. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Jaclyn Nicolia located?

Jaclyn Nicolia practices at 525 E 68th St, New York, NY 10065. The listed phone number is (845) 926-4968.

What is Jaclyn Nicolia's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jaclyn Nicolia enrolled in Medicare?

Yes. Jaclyn Nicolia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jaclyn Nicolia affiliated with any hospitals?

According to CMS data, Jaclyn Nicolia is affiliated with North Shore University Hospital, Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Jaclyn Nicolia was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.