Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anant Kumarie Nischal, PHD-IMD, PA

Individual provider Medical Physician Assistant · NPI 1023291887

Anant Kumarie Nischal, PHD-IMD, PA is a Medical Physician Assistant in Staten Island, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2007
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.

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Practice location Address checks out

1478 Victory Blvd
Staten Island, NY 10301-3915
Phone: (718) 442-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00118500 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004743 (NY)

Record details

NPI number1023291887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD-IMD , PA
Sole proprietorYes
NPI enumeratedDecember 14, 2007
Last updated in NPPESMay 22, 2014

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