Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS ANZIDEO, PA
Active Sole ProprietorNICHOLAS ANZIDEO, PA is a Physician Assistant healthcare provider located in NORTH WALES, Pennsylvania. NPI 1629441696 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NORTH WALES, PA
Registration Details
- NPI Number
- 1629441696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2015 (10.567919860387 yrs)
- Last Updated
- Apr 14, 2025
- Licenses
-
25MP00518300 (NJ)MA058011 (PA)OA003706 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 HORSHAM RD STE 201NORTH WALES, PA, 194541500Browse PA providers · Browse ZIP 19454
- Phone
- 2153622385
- Fax
- 2153611584
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NORTH WALES, PA
| Name | Credential | NPI |
|---|---|---|
| MS. KELLY C SEYMOUR | MS, PA-C | 1376841825 |
| JENNIFER YANG | PA-C | 1407366958 |
| ANTHONY FRANCIS POLCINO | — | 1598276040 |
| AYANA SARA ABRAHAM | — | 1053037077 |
| MORGAN ROHR | PA-C | 1043022593 |
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.