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

Nicholas McGillicuddy

Individual provider Physician Assistant · NPI 1770238248

Nicholas McGillicuddy is a Physician Assistant in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1000 S Ave
Rochester, NY 14620-2733
Phone: (585) 341-0901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 29144 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770238248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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