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

Individual provider Physician Assistant · NPI 1194052027

Nicole Josephine Nibert, PA is a Physician Assistant in New York, New York. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
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

1275 York Ave Fl 8
New York, NY 10065-6007
Phone: (212) 639-6938
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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 5601005636 (MI)

Record details

NPI number1194052027
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 13, 2009
Last updated in NPPESJune 4, 2018

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