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

Nicole Odinsky

Individual provider Physician Assistant · NPI 1740062025

Nicole Odinsky is a Physician Assistant in Woodmere, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

707 Emerson St
Woodmere, NY 11598-2836
Phone: (917) 968-6427
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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 25MP00992900 (NJ)

Record details

NPI number1740062025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2023
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address707 Emerson St, Woodmere, NY 11598-2836

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)
Accepts Medicare assignment Not indicated

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