Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Nicole Marie Chong, PA

Medical Physician Assistant in Sunrise, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063413748

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Registry record

Entity type Individual (Type 1)

Name Ms. Nicole Marie Chong

Credential PA

Sex Female

Practice address 1613 Nw 136th Ave, Suite 200, Sunrise, FL, 33323

Phone (800) 437-2672

Fax (281) 851-1416

Enumeration date Aug 3, 2005

Last updated in NPPES Sep 6, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA03403 (TX) Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9101662 (FL) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
P00458829	Other	-	RR MCR
291078100	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Nicole Chong's NPI record?

Cross-check NPI 1063413748 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063413748 active?

Yes, as of the latest NPPES snapshot, NPI 1063413748 is active (record last updated 2019-09-06).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-09-06.