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Nicholas Alan Mallette

Physician Assistant β€’ Syracuse, NY

Active NPI 1770316432 Individual Practitioner Male Practitioner
Practice location in NPPES

736 Irving Ave
Syracuse, NY 132101602

Call 3154707111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

736 Irving Ave

Syracuse, NY 132101602

Telephone 3154707111
Fax 3154702691
Organization at the Same NPPES Address or Phone
Associated Hospitalists Of Crouse Llc Facility NPI 1962405241

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Syracuse and New York

353 active clinicians are listed under Physician Assistant with a practice address in Syracuse, NY (15,881 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Syracuse

7.9% of these 353 clinicians have the CMS telehealth indicator.

58.1% of these 353 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-11-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 036920

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Roanna Abborino , FNP

Nurse Practitioner - Family

NPI 1770608754

Family Nurse Practitioner

Foster Abrokwah , CRNA

Nurse Anesthetist, Certified Registered

NPI 1669047130

Certified Registered Nurse Anesthetist

Michelle Adamovich , PA

Physician Assistant

NPI 1306441761

Physician Assistant

Demir Ahmetovic , CRNA

Nurse Anesthetist, Certified Registered

NPI 1487361945

Certified Registered Nurse Anesthetist

Richard Albano , PA

Physician Assistant - Surgical

NPI 1679540652

Physician Assistant

Julie Aliu , CRNA

Nurse Anesthetist, Certified Registered

NPI 1376802900

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 04, 2026

Registered at 736 IRVING AVE, SYRACUSE, NY 132101602 (Tel: 3154707111)

πŸ“
Updated Business Mailing Address November 04, 2026

Registered at 736 IRVING AVE, SYRACUSE, NY 132101602 (Tel: 3154707111)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2026

Physician Assistant (license number reported to NPPES: NY 036920)

βœ…
NPI Profile Active August 20, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 20, 2024

Registered at 1419 SALT SPRINGS RD, SYRACUSE, NY 132141301 (Tel: 3154454100)

πŸ“
Business Mailing Address (Initial Record) August 20, 2024

Registered at 215 PHELPS ST, WATERTOWN, NY 136011428 (Tel: 3159555505)

πŸ‘€
Provider Name / Credentials (Initial Record) August 20, 2024

Recorded as NICHOLAS MALLETTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 20, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770316432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2024
Last Update: November 04, 2026
Sole Proprietor: No

Other Physician Assistants in Syracuse

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Mailing Address

736 Irving Ave

Syracuse, NY 132101602

Phone: 3154707111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.