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MR. NIKITA GOLTYAPIN PA-C
NPI 1710445259
Physician Assistant in New York, NY

Active since March 04, 2019PECOS Enrolled
160 BROADWAY RM 1107, NEW YORK, NY 10038(212) 433-2956(877) 682-2321 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Mar 4, 2019 (2 updates tracked since 2019).

About Mr. Nikita Goltyapin Pa-c NPPES

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

MR. NIKITA GOLTYAPIN PA-C (NPI 1710445259) is an individual physician assistant in New York, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710445259
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NIKITA GOLTYAPINCredential: PA-C
Location Address160 BROADWAY RM 1107New York, NY 10038-4212
Mailing Address291 Melrose PlSouth Orange, NJ 07079-1638 · (212) 500-1008
Phone(212) 433-2956
Fax(877) 682-2321
Sole ProprietorNo
Enumeration DateMarch 4, 2019
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1710445259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License M5066222 (OH)
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 454020 (NY)
160 BROADWAY RM 1107, New York, NY 10038
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Other Identifiers 1

Other1578711891NY · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nikita Goltyapin 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 10038 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.

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 Nikita Goltyapin's NPI number?

The NPI number for Nikita Goltyapin is 1710445259. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Nikita Goltyapin located?

Nikita Goltyapin practices at 160 Broadway Rm 1107, New York, NY 10038. The listed phone number is (212) 433-2956.

What is Nikita Goltyapin's specialty?

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

Is Nikita Goltyapin enrolled in Medicare?

Yes. Nikita Goltyapin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikita Goltyapin was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.