NICK NICOLAEV NICOLOFF RPA-C
NPI 1992769632
Physician Assistant - Medical in Brooklyn, NY

Active since April 12, 2006PECOS Enrolled
445 KINGS HWY, BROOKLYN, NY 11223(718) 676-0111 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nick Nicolaev Nicoloff Rpa-c NPPES

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

NICK NICOLAEV NICOLOFF RPA-C (NPI 1992769632) is an individual medical provider in Brooklyn, New York, licensed in New York (009001-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992769632
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICK NICOLAEV NICOLOFFCredential: RPA-C
Location Address445 KINGS HWYBrooklyn, NY 11223-1780
Mailing Address100 Clarewood Dr, Apt 4eHastings On Hudson, NY 10706-3652 · (917) 388-7644
Sole ProprietorYes
Enumeration DateApril 12, 2006
Last NPPES UpdateMay 9, 2016
NPI 1992769632 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 NY · 009001-1
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 009001-1 (NY)
445 KINGS HWY, Brooklyn, NY 11223

Other Identifiers 2

Medicare PIN5F757EZ521
Medicare UPINP48238

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nick Nicolaev Nicoloff Rpa-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 10

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

Ophthalmology
445 KINGS HWY, 1ST FLOOR
BROOKLYN, NY 11223
Clinic/Center (Multi-Specialty)
445 KINGS HWY, 2 FLOOR
BROOKLYN, NY 11223
Physical Medicine & Rehabilitation
445 KINGS HWY, 2ND FLOOR
BROOKLYN, NY 11223
Internal Medicine (Cardiovascular Disease)
445 KINGS HWY, 2ND FLOOR
BROOKLYN, NY 11223
Optometrist
445 KINGS HWY, 1ST FLOOR
BROOKLYN, NY 11223
Ophthalmology
445 KINGS HWY
BROOKLYN, NY 11223
Optometrist
445 KINGS HWY, 1ST FLOOR
BROOKLYN, NY 11223
Clinic/Center (Multi-Specialty)
445 KINGS HWY
BROOKLYN, NY 11223

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 Nick Nicoloff's NPI number?

The NPI number for Nick Nicoloff is 1992769632. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Nick Nicoloff located?

Nick Nicoloff practices at 445 Kings Hwy, Brooklyn, NY 11223. The listed phone number is (718) 676-0111.

What is Nick Nicoloff's specialty?

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

Is Nick Nicoloff enrolled in Medicare?

Yes. Nick Nicoloff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nick Nicoloff was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.