Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leroy Nickles, MD

Individual provider Emergency Medicine Physician · NPI 1710070412

Dr. Leroy Nickles, MD practises Emergency Medicine in New York, New York. Graduated from Pennsylvania State University College of Medicine in 2002, 24 years ago. Practices with Emergency Physician Services of New Jersey, Professional Association, a 51-clinician group and accepts Medicare assignment. Licensed in Michigan, New York and Pennsylvania.

Years since qualifying
24
Trained at
Pennsylvania State University College of Medicine
Licensed in
MI, NY, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

170 W 12th St Emergency Dept Administration
New York, NY 10011-8202
Phone: (212) 604-2590
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 236503 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD425081 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301511279 (MI)

Record details

NPI number1710070412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Emergency Physician Services Of New Jersey,Professional Association — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients92
Services billed 98 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Emergency Physician Services of New Jersey, Professional Association

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 51 clinicians in the practice; 12 are shown here.

Other providers in New York