Doctor profile · Federal record
Dr. NICHOLAS KOSTISHAK, PA-C, ATC
Physician Assistant · Athletic Trainer · Athletic Trainer · NEW YORK, NY
- NPI 1487085676
- 13 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1000 10TH AVE # 2A05
NEW YORK, NY 100191147
(516) 375-6459 - Additional location
-
3469 Stephen Ln
Wantagh, NY 117933105 - Mailing address
-
3469 STEPHEN LN
WANTAGH, NY 117933105
Credentials & registration
- NPI registered
- December 2013 — 13 yrs on file
- Profile last updated
- January 30, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- New York #024450 · New York #002702 · Arizona #1134
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487085676. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$79
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 2 | $78.52 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
103
Patients
89
Total drug cost
$955
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 38 | 37 | $276 |
| Pantoprazole Sodium | Generic | 32 | 30 | $245 |
| Celecoxib | Generic | 22 | 22 | $417 |
| Meloxicam | Generic | 11 | 0 | $17 |