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

Nicole Boucicaut, PA-C

Individual provider Physician Assistant · NPI 1508474081

Nicole Boucicaut, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

160 E 53rd St
New York, NY 10022-5243
Phone: (516) 563-0139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1508474081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

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