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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS JOSEPH BEVILACQUA, DPM

Active Sole Proprietor

DR. NICHOLAS JOSEPH BEVILACQUA, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in TEANECK, New Jersey. NPI 1487754131 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · TEANECK, NJ

Registration Details

NPI Number
1487754131
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2006 (19.866275373187 yrs)
Last Updated
Oct 28, 2015
License
25MD00304300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
730 PALISADE AVE
TEANECK, NJ, 076663144
Browse NJ providers · Browse ZIP 07666
Phone
2013539000
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in TEANECK, NJ

Name Credential NPI
DR. JONATHAN HOWARD MARGOLIN DPM 1023017688
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.