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

Individual provider Medical Physician Assistant · NPI 1790326486

Nicole Ashley Famiglietti, PA-C is a Physician Assistant in Manhasset, New York. Qualified in 2019, 7 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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

300 Community Dr
Manhasset, NY 11030-3816
Phone: (646) 226-2695
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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 024189-01 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 024189-01 (NY)

Record details

NPI number1790326486
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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