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

Individual provider Physician Assistant · NPI 1295400299

Nicolaas John Pennings, PA-C is a Physician Assistant in Albany, New York. Qualified in 2021, 5 years ago. Practices with St Peters Hospital of the City of Albany, a 268-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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

315 S Manning Blvd
Albany, NY 12208-1707
Phone: (518) 525-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027005 (NY)

Record details

NPI number1295400299
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

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 St Peters Hospital Of The City Of Albany — 268 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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