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

Nicole Marina Bancroft, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1770313082

Nicole Marina Bancroft, PHYSICIANASSISTANT is a Physician Assistant in Paramus, New Jersey. Qualified in 2024, 2 years ago. Practices with The Plastic Surgery Center, a 89-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
Specialties on file
2

Practice location Address checks out

305 N Rte 17 Ste 3-100A
Paramus, NJ 07652-2913
Phone: (201) 470-5853
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 25MP00856900 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00856900 (NJ)

Record details

NPI number1770313082
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 2, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Plastic Surgery Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Paramus