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

NICOLE CASTELLUCCIO, PA-C

Active Sole Proprietor

NICOLE CASTELLUCCIO, PA-C is a Physician Assistant healthcare provider located in MAYWOOD, New Jersey. NPI 1992483929 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MAYWOOD, NJ

Registration Details

NPI Number
1992483929
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2023 (3.052436542511 yrs)
Last Updated
Jun 20, 2024
License
25MP00791700 (NJ)
Sole Proprietor
Yes

Practice Information

Address
113 W ESSEX ST
MAYWOOD, NJ, 076071023
Browse NJ providers · Browse ZIP 07607
Phone
2014873400
Fax
2016031993
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MAYWOOD, NJ

Name Credential NPI
IVAN BILBAO-LAVIEJA PA 1477593820
MR. DAVID S MILLER PA 1417055369
ANN MARY THOMAS PA 1356789861
REBECCA FLIM PA-C 1376080507
VICTORIA-LEN LUMAPAN 1831970177
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.