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

Individual provider Medical Physician Assistant · NPI 1811918345

Nicole Marie McDermott, PA-C is a Physician Assistant in Bethpage, New York. Qualified in 2002, 24 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
24
Licensed in
NC, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4045 Hempstead Tpke Fl 3
Bethpage, NY 11714-5611
Phone: (516) 731-7770
Fax: (516) 541-1721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 008886-1 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-00180 (NC)

Record details

NPI number1811918345
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

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 Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Bethpage