1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Physician Assistant
  6. NPI Profile

MISS NICOLE BOTTINO PA-C
NPI 1982950002
Physician Assistant - Surgical in Boston, MA

Active since July 26, 2012PECOS Enrolled
319 LONGWOOD AVE, BOSTON, MA 02115(617) 355-3501(617) 730-0682 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Nicole Bottino Pa-c NPPES

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

MISS NICOLE BOTTINO PA-C (NPI 1982950002) is an individual surgical provider in Boston, Massachusetts, licensed in New Jersey (25MP00383500) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1982950002
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS NICOLE BOTTINOCredential: PA-C
Location Address319 LONGWOOD AVEBoston, MA 02115
Mailing Address89 Fairfax CtMadison, NJ 07940-1150 · (201) 739-2402
Phone(617) 355-3501
Fax(617) 730-0682
Sole ProprietorNo
Enumeration DateJuly 26, 2012
Last NPPES UpdateJune 19, 2018
✔ NPI 1982950002 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
Licenses✔ Licensed in NJ · 25MP00383500✔ Licensed in MA · PA4441
319 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Location 1

Location 1319 Longwood AveBoston, MA 02115-5728 · Phone (617) 355-3501 · Fax (617) 730-0682

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Nicole Bottino 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.

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.

LUA ASSOCIATES PC
Urology
319 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 277-0100
COREY IAN DAWKINS A.T.C.
Specialist/Technologist (Athletic Trainer)
319 LONGWOOD AVE, 6TH FLOOR - SPORTS MEDICINE
BOSTON, MA 02115
Suffolk County (617) 355-3501
DR. ROBERT S MICHAELS MD
Pediatrics
319 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7318
MS. RACHEL STEPHANIE SHADE LICSW
Social Worker (Clinical)
319 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 277-7320
EMILY HANSON ATC
Specialist/Technologist (Athletic Trainer)
319 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-3501
BRIDGET JOYCE QUINN M.D.
Emergency Medicine (Sports Medicine)
319 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-3501
EMILY EVON BEARGIE CPNP-PC
Nurse Practitioner (Pediatrics)
319 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 277-7320
MRS. LIZANNE BACKE BARONE PNP-BC
Nurse Practitioner (Pediatrics)
319 LONGWOOD AVE, 2ND FLOOR
BOSTON, MA 02115
Suffolk County (617) 355-5971

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 Bottino's NPI number?

The NPI number for Nicole Bottino is 1982950002. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Where is Nicole Bottino located?

Nicole Bottino practices at 319 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-3501.

What is Nicole Bottino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Bottino enrolled in Medicare?

Yes. Nicole Bottino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Bottino was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.