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

Mrs. Nicole Carrillo, PA-C

Individual provider Medical Physician Assistant · NPI 1063660983

Mrs. Nicole Carrillo, PA-C is a Physician Assistant in Jersey City, New Jersey. Qualified in 2008, 18 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
18
Licensed in
NJ
In the registry since
2008
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

377 Jersey Ave Ste 450
Jersey City, NJ 07302-4397
Phone: (201) 915-2525
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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 25MP00203400 (NJ)

Record details

NPI number1063660983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 4, 2008
Last updated in NPPESJanuary 25, 2023
Certification dateSeptember 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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