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

Nicholas John Anderjack, PA-C

Individual provider Physician Assistant · NPI 1861152589

Nicholas John Anderjack, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2021, 5 years ago. Practices with Usacs Integrated Acute Care Services of Nevada Bagnoli P C, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
5
Licensed in
NY, PA
In the registry since
2021
Specialties on file
3
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

1160 Chili Ave
Rochester, NY 14624-3035
Phone: (585) 426-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 191 N Main St, Wellsville, NY 14895-1150 — (585) 593-1100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027653-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA062858 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA005933 (PA)

Record details

NPI number1861152589
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateOctober 13, 2021
Mailing address1107 Greenlawn Dr, Pittsburgh, PA 15220-3103

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Usacs Integrated Acute Care Services Of Nevada Bagnoli P C — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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