MR. PAUL NICOLOSI PA-C
NPI 1932463460
Physician Assistant - Medical in New London, CT

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
365 MONTAUK AVENUE, LAWRENCE MEMORIAL HOSPITAL, NEW LONDON, CT 06320(860) 442-0711(860) 444-3733 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul Nicolosi Pa-c NPPES

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

MR. PAUL NICOLOSI PA-C (NPI 1932463460) is an individual medical provider in New London, Connecticut, licensed in Connecticut (2778) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and maintains a secondary practice location in Norwich.

NPPES Registry Identity

NPI1932463460
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PAUL NICOLOSICredential: PA-C
Location Address365 MONTAUK AVENUE, LAWRENCE MEMORIAL HOSPITALNew London, CT 06320
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 442-0711 · Fax (860) 444-3733
Fax(860) 444-3733
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 29, 2012
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
NPI 1932463460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 2778
Also ListedPhysician AssistantTaxonomy 363A00000X
365 MONTAUK AVENUE, New London, CT 06320

Secondary Practice Location 1

Location 1326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

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

Mr. Paul Nicolosi Pa-c 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 ID3173770252
PECOS Enrollment IDI20120824000040
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
125 services123 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Physician Assistant
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Internal Medicine (Infectious Disease)
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Counselor (Mental Health)
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Physician Assistant
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Radiology (Diagnostic Radiology)
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Radiology (Diagnostic Radiology)
365 MONTAUK AVENUE
NEW LONDON, CT 06320
Physician Assistant
365 MONTAUK AVENUE, DEPARTMENT: SURGERY (INPATIENT)
NEW LONDON, CT 06320

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 Paul Nicolosi's NPI number?

The NPI number for Paul Nicolosi is 1932463460. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Paul Nicolosi located?

Paul Nicolosi practices at 365 Montauk Avenue Lawrence Memorial Hospital, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Paul Nicolosi's specialty?

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

Is Paul Nicolosi enrolled in Medicare?

Yes. Paul Nicolosi 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 Paul Nicolosi affiliated with any hospitals?

According to CMS data, Paul Nicolosi is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Paul Nicolosi was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.