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

Nicklaus Deevers

Individual provider Physician Assistant · NPI 1285203158

Nicklaus Deevers is a Physician Assistant in Newark, New Jersey. Qualified in 2021, 5 years ago. Practices with Urgent Care Solutions Glendale PC, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285203158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address675 Hoes Ln W, Piscataway, NJ 08854-8021

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 Urgent Care Solutions Glendale Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Newark