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

Nicole Rose Ciccia

Individual provider Surgical Physician Assistant · NPI 1912413139

Nicole Rose Ciccia is a Physician Assistant in New Haven, Connecticut. Qualified in 2017, 9 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4036 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1912413139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2017
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Haven