Active NPIIndividual provider

Louis J Ciccolello Sr.

Peer Specialist in Atlantic City, New Jersey

NPI Number1396536645
Practice location
1925 Pacific Ave, Atlantic City, NJ 08401-6713
Fax
—
Last updated
May 15, 2025

Louis J Ciccolello is a Peer Specialist based in Atlantic City, NJ. Louis J Ciccolello practices in Atlantic City, NJ. The NPI Number for Louis J Ciccolello is 1396536645 and holds a License No. 50683 (NJ). The current practice location address for Louis J Ciccolello is 1925 Pacific Ave, Atlantic City, NJ 08401-6713 and can be reached out via phone at 609-345-4000.

Provider Profile Details

NPI Number
1396536645
Provider Name
Louis J Ciccolello
Provider Entity Type
Individual
Gender
Male
Address
1925 Pacific Ave, Atlantic City, NJ 08401-6713
Phone Number
609-345-4000
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2025
Last Update Date
May 15, 2025
Certification Date
May 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Zip
08401-6713
Phone Number
609-345-4000
Atlantic City, NJ 08401Get directions →

Provider Business Mailing Address Details

Address
6550 Delilah RD Ste 301
Egg Harbor Twp, NJ 08234-5102
City
Egg Harbor Twp
State
NJ
Zip
08234-5102
Phone Number
609-246-8184

License Information

License Number
50683
License State
NJ
Taxonomy
Peer Specialist · 175T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Louis J Ciccolello Sr.?

The NPI number of Louis J Ciccolello Sr. is 1396536645. It was assigned on May 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Louis J Ciccolello Sr.?

Louis J Ciccolello Sr. is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in NJ under license number 50683.

Where does Louis J Ciccolello Sr. practice?

The practice location is 1925 Pacific Ave, Atlantic City, NJ 08401-6713. The office can be reached at 609-345-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396536645 directly on the NPPES registry website.

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