THEODORE E. NOLAN PA NPI 1376570176

NPI Information

  • NPI: 1376570176
  • Provider Name: THEODORE E. NOLAN, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 1 BRIDGE ST
    ARDSLEY, NY
    ZIP 10502
  • Phone: (914) 693-8787

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NPI Details

Theodore E. Nolan, PA is a physician assistant in Ardsley, NY. The provider is 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Theodore E. Nolan, PA NPI is 1376570176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 BRIDGE ST
ARDSLEY, NY
ZIP 10502-136
Phone: (914) 693-8787
Fax: (914) 693-8525

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant009006NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12314138171MEDICARE PINNEW YORK
2A400013239MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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