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NICHOLAS MONDORE PA-C
NPI 1639041023
Physician Assistant - Surgical in Albany, NY

Active since September 23, 2025
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206(518) 489-2666 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas Mondore Pa-c NPPES

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

NICHOLAS MONDORE PA-C (NPI 1639041023) is an individual surgical provider in Albany, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1639041023
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameNICHOLAS MONDORECredential: PA-C
Location Address1367 WASHINGTON AVE STE 200Albany, NY 12206-1043
Mailing Address1703 Forest Ridge BlvdSaratoga Springs, NY 12866-7432 · (315) 939-9943
Phone(518) 489-2666
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1639041023 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
1367 WASHINGTON AVE STE 200, Albany, NY 12206
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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.

JOACHIM J TENUTA M.D.
Orthopaedic Surgery
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 292-2632
LAURIE L COPPOLA FNP-C
Nurse Practitioner (Family)
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2666
MISS SARA ELIZABETH GARDNER RPA
Physician Assistant (Surgical)
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2666
DR. VIVEK DUTT M.B.B.S, M.S, D.ORTH
Orthopaedic Surgery
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2666
TODD S SHATYNSKI MD
Family Medicine
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2666
SEAN WILLIAM LEAHY PA-C
Physician Assistant
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2999
MEGAN MCINTYRE LAPOINTE PA-C
Physician Assistant
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2666
NICOLE FAME DERBY PA-C
Physician Assistant
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Albany County (518) 489-2666

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 Nicholas Mondore's NPI number?

The NPI number for Nicholas Mondore is 1639041023. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Nicholas Mondore located?

Nicholas Mondore practices at 1367 Washington Ave Ste 200, Albany, NY 12206. The listed phone number is (518) 489-2666.

What is Nicholas Mondore'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 Nicholas Mondore was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.