MS. KATY ANNE NICKOLAUS


Address: 160 E 53rd St, New York, NY 10022-5243
Phone: 2126392000

MS. KATY ANNE NICKOLAUS (NPI# 1821549924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821549924
Entity Type Individual
Full Name MS. KATY ANNE NICKOLAUS
Credential PA-C
Practice Address 160 E 53rd St
New York
NY 10022-5243
Mailing Address 30 Buttonwood Dr
Dix Hills
NY 11746-4805
Practice Telephone 2126392000
Mailing Telephone 5163764027
Enumeration Date 2016-10-24
Last Update Date 2016-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
020308 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 160 E 53RD ST
City NEW YORK
State NY
Zip Code 10022-5243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851362305 Denise Kessel Nurse Practitioner 160 E 53rd St, New York, NY 10022-5243 2006-01-31
1962025015 Kristyn Lynn Senzino Nurse Practitioner 160 E 53rd St, New York, NY 10022-5243 2020-05-23
1932738747 Samantha Chen Pharmacist 160 E 53rd St, New York, NY 10022-5243 2020-04-03
1164067526 Dimitri Zavos Pharmacist 160 E 53rd St, New York, NY 10022-5243 2019-11-08
1609419597 Morgan Mccauley Nurse Practitioner 160 E 53rd St, New York, NY 10022-5243 2019-10-23
1912461724 Christina Ann Larsen Nurse Practitioner 160 E 53rd St, New York, NY 10022-5243 2019-01-25
1992201727 Jennifer Elizabeth Abedin Nurse Practitioner 160 E 53rd St, New York, NY 10022-5243 2018-04-02
1336696483 Megan Lee Pharmacist 160 E 53rd St, New York, NY 10022-5243 2016-09-07
1215303342 Julia Choi Pharmacist 160 E 53rd St, New York, NY 10022-5243 2015-08-12
1528460037 Naresa Baksh Registered Nurse 160 E 53rd St, New York, NY 10022-5243 2014-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215537931 Gloria Helena Gomez Arenas Student in an Organized Health Care Education/Training Program 220 East 57th Street, Apt 5c, New York, NY 10022 2020-10-30
1629697081 Mary Kathleen Mcallister Social Worker 157 East 57th Street, Apt 7a, New York, NY 10022 2020-04-15
1245878263 Vishal Patel Optometrist Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 2019-12-20
1679116768 Niteegna Patel Physical Therapist 115 East 57th Sreet, Suite 520, New York, NY 10022 2019-10-22
1386298081 Daniel Tanh, LLC Community/Behavioral Health Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 2019-07-31
1124686548 Necati Enver Student in an Organized Health Care Education/Training Program 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 2019-05-31
1134688062 Queenie K Yeung Occupational Therapist 1110 Second Avenue, Suite 302, New York, NY 10022 2019-03-19
1437616968 Rebekah Wotman Nurse Practitioner 121 E 60th Street, Suite 4c, New York, NY 10022 2019-02-20
1972086684 Steven Kyongmin Kim Dentist 209 E 56th St Frnt 1, New York, NY 10022 2018-09-09
1235616186 Deborah Badran Doula 415 East 52st. #2aa, New York, NY 10022 2018-07-24
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477169654 Kristen Ariel O'connell Physician Assistant 85 John St Apt 7a, New York, NY 10038-2844 2020-09-22
1932737574 Raheej Choudhary Physician Assistant 115 Broadway Rm 1300, New York, NY 10006-1600 2020-03-30
1992354534 Herless S Sun Physician Assistant 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 2019-09-06
1134773781 Kristin Goodkin Physician Assistant 170 E 108th St Apt 5, New York, NY 10029-3635 2019-07-31
1215580600 Anna Catherine Kasprzak Physician Assistant 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 2019-07-24
1366965774 Christy Mcgorman Physician Assistant 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 2017-07-18
1891215562 Steven Kahler Physician Assistant 67 Irving Pl Fl 5, New York, NY 10003-2255 2017-06-23
1255881157 Ross Joseph Morgan IIi Physician Assistant 160 E 56th St Fl T12, New York, NY 10022-3609 2016-10-04
1659723021 Woo Jung Kim Physician Assistant 131 W 35th St Ste 700, New York, NY 10001-2111 2016-07-08
1639538317 Arielle Romm Physician Assistant 928 Broadway Ste 204, New York, NY 10010-8162 2016-02-23
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Competitor

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City NEW YORK
Zip Code 10022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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