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

Mr. Nicholas Edward Broughton, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1568960078

Mr. Nicholas Edward Broughton, PHYSICIANASSISTANT is a Physician Assistant in Hicksville, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

99 Woodbury Rd
Hicksville, NY 11801-3043
Phone: (516) 595-7454
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021545 (NY)

Record details

NPI number1568960078
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 30, 2018
Last updated in NPPESJanuary 30, 2018

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