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

Nicole Vassallo, PA

Individual provider Physician Assistant · NPI 1275427619

Nicole Vassallo, PA is a Physician Assistant in Paterson, New Jersey. Qualified in 2025, 1 year ago. Practices with Passaic River Observation, LLC, a 27-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275427619
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 8, 2025
Mailing address703 Main St, Paterson, NJ 07503-2621

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)
Group practice Passaic River Observation, Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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