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

Nicole Bifulco

Individual provider Surgical Physician Assistant · NPI 1053776476

Nicole Bifulco is a Surgical Physician Assistant in Brooklyn, New York. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (718) 630-7893
Show map & directions

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

Additional practice locations (1)

  • 8268 164th St, Jamaica, NY 11432-1121 — (718) 883-3000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1053776476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2015
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address15839 81st St, Howard Beach, NY 11414-2920

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