- Practice location
- 3379 Chili Ave Ste 100, Rochester, NY 14624
- Phone
- 585-889-0750
- Fax
- 585-889-0750
- Last updated
- November 6, 2023
Nicole J Gaden is a Physician Assistant, Medical based in Rochester, NY. Nicole J Gaden practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Nicole J Gaden is 1790085264 and holds a License No. 022054 (NY). The current practice location address for Nicole J Gaden is 3379 Chili Ave Ste 100, Rochester, NY 14624 and can be reached out via phone at 585-889-0750 and via fax at 585-889-0750.
Provider Profile Details
- NPI Number
- 1790085264
- Provider Name
- Nicole J Gaden
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3379 Chili Ave Ste 100, Rochester, NY 14624
- Phone Number
- 585-889-0750
- Fax Number
- 585-889-0750
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Nicole J Mimken, PA (Former Name)
- Provider Enumeration Date
- October 29, 2010
- Last Update Date
- November 6, 2023
- Certification Date
- November 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3379 Chili Ave Ste 100
Rochester, NY 14624 - City
- Rochester
- State
- New York
- Zip
- 14624
- Phone Number
- 585-889-0750
- Fax Number
- 585-889-0750
Provider Business Mailing Address Details
- Address
- 3379 Chili Ave Ste 100
Rochester, NY 14624-5325 - City
- Rochester
- State
- NY
- Zip
- 14624-5325
- Phone Number
- 585-889-0750
- Fax Number
- 585-889-0750
License Information
- License Number
- 022054
- License State
- NY
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
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 Nicole J Gaden, PA?
The NPI number of Nicole J Gaden, PA is 1790085264. It was assigned on October 29, 2010 and is currently active in the NPPES registry.
What is the specialty of Nicole J Gaden, PA?
Nicole J Gaden, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 022054.
Where does Nicole J Gaden, PA practice?
The practice location is 3379 Chili Ave Ste 100, Rochester, NY 14624. The office can be reached at 585-889-0750 (phone) or 585-889-0750 (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 1790085264 directly on the NPPES registry website.