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NICOLE V BALLADARES PA
NPI 1922655653
Physician Assistant in Bay Shore, NY

Active since August 19, 2019
8 W SHORE RD, BAY SHORE, NY 11706(631) 835-5667 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole V Balladares Pa NPPES

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

NICOLE V BALLADARES PA (NPI 1922655653) is an individual physician assistant in Bay Shore, New York and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1922655653
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE V BALLADARESCredential: PA
Location Address8 W SHORE RDBay Shore, NY 11706-8211
Mailing Address8 W Shore RdBay Shore, NY 11706-8211
Phone(631) 835-5667
Sole ProprietorNo
Enumeration DateAugust 19, 2019
✔ NPI 1922655653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8 W SHORE RD, Bay Shore, NY 11706
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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 Nicole Balladares's NPI number?

The NPI number for Nicole Balladares is 1922655653. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Nicole Balladares located?

Nicole Balladares practices at 8 W Shore Rd, Bay Shore, NY 11706. The listed phone number is (631) 835-5667.

What is Nicole Balladares'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 Nicole Balladares was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.