Mr Nikita Goltyapin, PA-C - Physician Assistant in New York, NY

Mr Nikita Goltyapin, PA-C is a Physician Assistant based in New York, New York. Mr Nikita Goltyapin is licensed to practice in New Jersey (license number ) and his current practice location is 160 Broadway Rm 1107, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 433-2956.

NPI number for Mr Nikita Goltyapin is 1710445259 and his current mailing address is 291 Melrose Pl, South Orange, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710445259.

Contact Information

Mr Nikita Goltyapin, PA-C
160 Broadway Rm 1107,
New York, NY 10038-4212
(212) 433-2956
(877) 682-2321

Map and Direction




Provider's Profile

Full NameMr Nikita Goltyapin
GenderMale
SpecialityPhysician Assistant
Location160 Broadway Rm 1107, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710445259
  • Provider Enumeration Date: 03/04/2019
  • Last Update Date: 02/09/2026

Medical Identifiers

Medical identifiers for Mr Nikita Goltyapin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710445259NPI-NPPES
1578711891OtherNYNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (New Jersey)Primary
146L00000XEmergency Medical Technician, Paramedic M5066222 (Ohio)Secondary
146N00000XEmergency Medical Technician, Basic 454020 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nikita Goltyapin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Nikita Goltyapin, PA-C
291 Melrose Pl,
South Orange, NJ 07079-1638

Ph: (212) 500-1008
Mr Nikita Goltyapin, PA-C
160 Broadway Rm 1107,
New York, NY 10038-4212

Ph: (212) 433-2956

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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