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

Individual provider Medical Physician Assistant · NPI 1053971440

Nicholas George Liotta, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2019, 7 years ago. Practices with Pulmonary Disease Clinical Group, a 65-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone: (585) 723-7870
Fax: (585) 723-7871
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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 023583 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23583 (NY)

Record details

NPI number1053971440
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESJuly 17, 2023
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pulmonary Disease Clinical Group — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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