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

Individual provider Surgical Physician Assistant · NPI 1326779216

Nicolette S Colwin, PA-C is a Physician Assistant in Hackensack, New Jersey. Qualified in 2023, 3 years ago. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2022
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

20 Prospect Ave Ste 907
Hackensack, NJ 07601-1989
Phone: (201) 342-2550
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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 25MP00820500 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 035092 (NY)

Record details

NPI number1326779216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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