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

Nicole Kosuda, PA

Individual provider Surgical Physician Assistant · NPI 1730890427

Nicole Kosuda, PA is a Physician Assistant in West Mifflin, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Advanced Dermatology of Pennsylvania, PC, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
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

500 N Lewis Run Rd Ste 217
West Mifflin, PA 15122-3070
Phone: (412) 466-3215
Fax: (412) 466-3218
Show map & directions

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

Additional practice locations (2)

  • 520 Franklin Ave Ste 212, Garden City, NY 11530-5815 — (212) 355-5555
  • 1220 Lincoln Way Ste 101, White Oak, PA 15131-1642 — (412) 678-8806

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 029195-01 (NY)

Record details

NPI number1730890427
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address500 N Lewis Run Rd Ste 217, West Mifflin, PA 15122-3070

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advanced Dermatology Of Pennsylvania, Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare