Individual provider · Type 1 NPI
Nikita Goltyapin, PA-C
Physician Assistant · New York, NY
Practice location
160 Broadway Rm 1107
New York, NY 10038-4212
Fax (877) 682-2321
Mailing address
291 Melrose Pl
South Orange, NJ 07079-1638
Other practice locations
- 27 Whitehall St Fl 7, New York, NY 10004-2156 · (212) 500-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
| Paramedic | 146L00000X | M5066222 (OH) |
| Basic Emergency Medical Technician | 146N00000X | 454020 (NY) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1710445259
Nikita Goltyapin, PA-C's National Provider Identifier is 1710445259, issued on Mar 4, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Feb 9, 2026.