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

Mrs. Nicole Ann Elliano, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1710388319

Mrs. Nicole Ann Elliano, PHYSICIANASSISTANT is a Physician Assistant in Port Jefferson, New York. Qualified in 2014, 12 years ago. Practices with Harbor View Medical Services PC, a 58-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777
Phone: (631) 686-7654
Fax: (631) 686-7653
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017982 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 017982 (NY)

Record details

NPI number1710388319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 15, 2014
Last updated in NPPESAugust 9, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Harbor View Medical Services Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Jefferson