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

MS. Nicole Marie Chong, PA

Individual provider Physician Assistant · NPI 1063413748

MS. Nicole Marie Chong, PA is a Physician Assistant in Sunrise, Florida. Qualified in 2001, 25 years ago. Practices with Neurosurgical Consultants of South Florida LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
25
Licensed in
FL, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1613 NW 136th Ave Ste 200
Sunrise, FL 33323-2853
Phone: (800) 437-2672
Fax: (281) 851-1416
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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 PA9101662 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA03403 (TX)

Record details

NPI number1063413748
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESSeptember 6, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Neurosurgical Consultants Of South Florida Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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