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

Nicole Deegan, PA

Individual provider Physician Assistant · NPI 1124990965

Nicole Deegan, PA is a Physician Assistant in Newburgh, New York. Qualified in 2025, 1 year ago. Practices with Nyack Emergency Medical Association PLLC, a 56-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.

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Practice location Address checks out

70 Dubois St
Newburgh, NY 12550-4851
Phone: (845) 561-4400
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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 034751 (NY)

Record details

NPI number1124990965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address70 Dubois St, Newburgh, NY 12550-4851

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 Nyack Emergency Medical Association Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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