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

Nicole Kosuda, PA

Individual provider Surgical Physician Assistant · NPI 1730890427

Nicole Kosuda, PA is a Physician Assistant in West Mifflin, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Advanced Dermatology of Pennsylvania, PC, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

500 N Lewis Run Rd Ste 217
West Mifflin, PA 15122-3070
Phone: (412) 466-3215
Fax: (412) 466-3218
Show map & directions

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

Additional practice locations (2)

  • 520 Franklin Ave Ste 212, Garden City, NY 11530-5815 — (212) 355-5555
  • 1220 Lincoln Way Ste 101, White Oak, PA 15131-1642 — (412) 678-8806

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 029195-01 (NY)

Record details

NPI number1730890427
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advanced Dermatology Of Pennsylvania, Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare