Nicholas Gerard Pellicoro in Nutley - Podiatrist
Nicholas Gerard Pellicoro - NPI 1508922410
Nicholas Gerard Pellicoro is a Podiatrist in Nutley, New Jersey. Nicholas Gerard Pellicoro practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Nicholas Gerard Pellicoro is 1508922410. The last update date is 2017-05-17.
Nicholas Gerard Pellicoro's current location address is 530 Franklin Ave, Nutley, New Jersey. You can contact this provider via phone number 9736671066 and fax number 7327528054. The mailing address for Nicholas Gerard Pellicoro is 530 Franklin Ave, Nutley, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Gerard Pellicoro |
|---|---|
| Address | 530 Franklin Ave, Nutley, New Jersey |
| Phone Number | 9736671066 |
| Fax Number | 7327528054 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508922410 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2017-05-17 |
Provider Mailing Address Detail
| Address | 530 Franklin Ave |
|---|---|
| City | Nutley |
| State | New Jersey (NJ) |
| Post Code | 71101720 |
| Phone Number | 9736671066 |
| Fax Number | 7327528054 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 25MD00177800 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166470101 | NJ | -- |
Post Comment/ Review Below
What is the Nicholas Gerard Pellicoro's 1508922410?
The Nicholas Gerard Pellicoro's NPI (National Provider Identifier) Number is 1508922410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nicholas Gerard Pellicoro's physical address?
The Nicholas Gerard Pellicoro is physically located at 530 Franklin Ave, in the city of Nutley, NJ, with the postal code 71101720.
What is Nicholas Gerard Pellicoro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nicholas Gerard Pellicoro is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508922410 to Nicholas Gerard Pellicoro?
The Centers for Medicare & Medicaid Services originally issued the 1508922410 to Nicholas Gerard Pellicoro on 2006-12-28.
As of what date were the details related to Nicholas Gerard Pellicoro most recently updated or revised?
The information pertaining to Nicholas Gerard Pellicoro, including its address, specialty, and other relevant details, was last updated or revised on 2017-05-17.