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

Nicole Courtenay, PA

Individual provider Surgical Physician Assistant · NPI 1225843667

Nicole Courtenay, PA is a Physician Assistant in Riverhead, New York. Qualified in 2025, 1 year ago. Practices with Central Suffolk Hospital, a 91-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1 Heroes Way
Riverhead, NY 11901-2058
Phone: (631) 548-6000
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1231985 (NY)

Record details

NPI number1225843667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Central Suffolk Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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