Active NPIIndividual providerSole proprietor

Dr. Nicholas J Bevilacqua, DPM

Podiatrist, Foot & Ankle Surgery in Teaneck, New Jersey

NPI Number1487754131
Practice location
730 Palisade Ave, Teaneck, NJ 07666-3144
Fax
—
Last updated
October 28, 2015

Nicholas Joseph Bevilacqua is a Podiatrist, Foot & Ankle Surgery based in Teaneck, NJ. Nicholas Joseph Bevilacqua practices in Teaneck, NJ and has the professional credentials of DPM. The NPI Number for Nicholas Joseph Bevilacqua is 1487754131 and holds a License No. 25MD00304300 (NJ). The current practice location address for Nicholas Joseph Bevilacqua is 730 Palisade Ave, Teaneck, NJ 07666-3144 and can be reached out via phone at 201-353-9000.

Provider Profile Details

NPI Number
1487754131
Provider Name
Nicholas Joseph Bevilacqua
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
730 Palisade Ave, Teaneck, NJ 07666-3144
Phone Number
201-353-9000
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2006
Last Update Date
October 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
730 Palisade Ave
Teaneck, NJ 07666-3144
Zip
07666-3144
Phone Number
201-353-9000
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
730 Palisade Ave
Teaneck, NJ 07666-3144
City
Teaneck
State
NJ
Zip
07666-3144
Phone Number
201-353-9000

License Information

License Number
25MD00304300
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · 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 Dr. Nicholas J Bevilacqua, DPM?

The NPI number of Dr. Nicholas J Bevilacqua, DPM is 1487754131. It was assigned on September 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas J Bevilacqua, DPM?

Dr. Nicholas J Bevilacqua, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00304300.

Where does Dr. Nicholas J Bevilacqua, DPM practice?

The practice location is 730 Palisade Ave, Teaneck, NJ 07666-3144. The office can be reached at 201-353-9000 (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 1487754131 directly on the NPPES registry website.

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