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

Nicholas Mondore, PA-C

Individual provider Surgical Physician Assistant · NPI 1639041023

Nicholas Mondore, PA-C is a Physician Assistant in Albany, New York. Graduated from State University of Ny Upstate Medical University in 2025, 1 year ago. Practices with Capital Region Orthopaedic Associates, PC, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2025
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

1367 Washington Ave Ste 200
Albany, NY 12206-1043
Phone: (518) 489-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (NY)

Record details

NPI number1639041023
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2025 (1 years in practice)
Group practice Capital Region Orthopaedic Associates, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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