Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Goncalves, PA-C

Individual provider Physician Assistant · NPI 1679149314

Nicholas Goncalves, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5141 Broadway
New York, NY 10034-1159
Phone: (212) 932-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8651 (NY)

Record details

NPI number1679149314
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

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