National Provider Identifier

Nicole J Gaden, P.A.

Nicole J Gaden, P.A. is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 889-0750.

NPI 1790085264Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1790085264
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 29, 2010
Last Updated
November 06, 2023

Practice Location

  • 3379 Chili Ave Ste 100
  • Rochester, NY 14624

Phone: (585) 889-0750

Mailing Address

  • 3379 Chili Ave Ste 100
  • Rochester, NY 14624-5325

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • nicole.gaden@rochesterregional.org

    Direct Messaging Address | Rochester, NY 14624

Full Record
NPI
1790085264
Entity Type
Individual
Last Name
Gaden
First Name
Nicole
Middle Name
J
Credential
P.A.
Provider Other Last Name
Mimken
Provider Other First Name
Nicole
Provider Other Middle Name
J
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
3379 Chili Ave Ste 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-5325
Mailing Country
US
Mailing Phone
(585) 889-0750
Mailing Fax
(585) 889-0750
Practice Street Address
3379 Chili Ave Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624
Practice Country
US
Practice Phone
(585) 889-0750
Practice Fax
(585) 889-0750
Enumeration Date
October 29, 2010
Last Updated
November 06, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 06, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)