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NICHOLAS GONCALVES PA-C
NPI 1679149314
Physician Assistant in New York, NY

Active since June 02, 2021PECOS Enrolled
5141 BROADWAY, NEW YORK, NY 10034(212) 932-4000 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 18, 2024, Apr 22, 2022, Feb 9, 2022 and 1 more (4 updates tracked since 2021).

About Nicholas Goncalves Pa-c NPPES

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

NICHOLAS GONCALVES PA-C (NPI 1679149314) is an individual physician assistant in New York, New York, licensed in New York (PA8651) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679149314
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS GONCALVESCredential: PA-C
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address5141 BroadwayNew York, NY 10034-1159 · (212) 932-4000
Phone(212) 932-4000
Sole ProprietorNo
Enumeration DateJune 2, 2021
Last NPPES UpdateSeptember 18, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1679149314 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 · PA8651
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.
5141 BROADWAY, New York, NY 10034
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Goncalves Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMANDA SARA BROWN RN
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4165
BRITNEY SAMIRA MATTHEWS NP
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
RAHUL SHAH M.D.
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
SONIKA KAUR CHOUHAN
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
DR. DEAN CHOU MD
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 305-7376
MS. KAREN MERYL STUGENSKY RPA-C
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
New York County (212) 932-4125
DEREK MAZIQUE
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
KRISTEN MICHELE MITCHELL PA
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4171

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 Goncalves's NPI number?

The NPI number for Nicholas Goncalves is 1679149314. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Nicholas Goncalves located?

Nicholas Goncalves practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-4000.

What is Nicholas Goncalves's specialty?

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

Is Nicholas Goncalves enrolled in Medicare?

Yes. Nicholas Goncalves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Goncalves was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.