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

Individual provider Physician Assistant · NPI 1720589815

Mr. Cameron Tyler Nicholson, PA-C is a Physician Assistant in New York, New York. Qualified in 2017, 9 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
Specialties on file
3
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

535 E 70th St
New York, NY 10021-4823
Phone: (212) 606-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1720589815
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Duke Health Integrated Practice Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3094 clinicians in the practice; 12 are shown here.

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