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

Individual provider Physician Assistant · NPI 1124646286

Mr. Nicholas Philip Medeiros, PA-C is a Physician Assistant in Quincy, Massachusetts. Qualified in 2020, 6 years ago. Practices with Manet Community Health Center, Inc, a 52-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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

110 W Squantum St
Quincy, MA 02171-2122
Phone: (617) 376-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 Concord Rd, Stoneham, MA 02180-2155 — (617) 967-8373

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124646286
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Manet Community Health Center, Inc. — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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