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

MS. Alicia Nicholls, RPA

Individual provider Medical Physician Assistant · NPI 1093944266

MS. Alicia Nicholls, RPA is a Physician Assistant in Astoria, New York. Qualified in 1993, 33 years ago. Practices with Doral Medical and Multi Specialty Facility LLC, a 54-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

4904 19th Ave
Astoria, NY 11105-1002
Phone: (718) 777-3494
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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 005223 (NY)

Record details

NPI number1093944266
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorNo
NPI enumeratedJuly 9, 2009
Last updated in NPPESJuly 9, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Doral Medical And Multi Specialty Facility Llc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Astoria