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

Nicole C Stroup, PA

Individual provider Physician Assistant · NPI 1649472358

Nicole C Stroup, PA is a Physician Assistant in Linwood, New Jersey. Qualified in 2002, 24 years ago. Practices with Sunwise Dermatology and Surgery LLC, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
24
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

222 New Rd
Linwood, NJ 08221-1299
Phone: (609) 653-6676
Fax: (609) 653-8828
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00104400 (NJ)

Record details

NPI number1649472358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESMay 21, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sunwise Dermatology And Surgery Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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