- Practice location
- 160 Broadway Rm 1107, New York, NY 10038-4212
- Phone
- 212-433-2956
- Fax
- 877-682-2321
- Last updated
- February 9, 2026
Nikita Goltyapin is a Physician Assistant based in New York, NY. Nikita Goltyapin practices in New York, NY and has the professional credentials of PA-C. The NPI Number for Nikita Goltyapin is 1710445259 and holds a License No. M5066222 (OH). The current practice location address for Nikita Goltyapin is 160 Broadway Rm 1107, New York, NY 10038-4212 and can be reached out via phone at 212-433-2956 and via fax at 877-682-2321.
Provider Profile Details
- NPI Number
- 1710445259
- Provider Name
- Nikita Goltyapin
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 160 Broadway Rm 1107, New York, NY 10038-4212
- Phone Number
- 212-433-2956
- Fax Number
- 877-682-2321
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 4, 2019
- Last Update Date
- February 9, 2026
- Certification Date
- February 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Broadway Rm 1107
New York, NY 10038-4212 - City
- New York
- State
- New York
- Zip
- 10038-4212
- Phone Number
- 212-433-2956
- Fax Number
- 877-682-2321
Provider Business Mailing Address Details
- Address
- 291 Melrose Pl
South Orange, NJ 07079-1638 - City
- South Orange
- State
- NJ
- Zip
- 07079-1638
- Phone Number
- 212-500-1008
License Information
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- M5066222
- License State (2)
- OH
- Taxonomy (2)
- Emergency Medical Technician, Paramedic · 146L00000X
- License Number (3)
- 454020
- License State (3)
- NY
- Taxonomy (3)
- Emergency Medical Technician, Basic · 146N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Nikita Goltyapin, PA-C?
The NPI number of Mr. Nikita Goltyapin, PA-C is 1710445259. It was assigned on March 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Nikita Goltyapin, PA-C?
Mr. Nikita Goltyapin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OH under license number M5066222.
Where does Mr. Nikita Goltyapin, PA-C practice?
The practice location is 160 Broadway Rm 1107, New York, NY 10038-4212. The office can be reached at 212-433-2956 (phone) or 877-682-2321 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710445259 directly on the NPPES registry website.