Active NPIIndividual provider

Dr. Nicole A Scivoletti-Polan, DO

Internal Medicine, Pulmonary Disease in Mullica Hill, New Jersey

NPI Number1699098095
Practice location
201 Tomlin Station RD Ste D, Mullica Hill, NJ 08062-1612
Fax
856-845-8024
Last updated
December 24, 2025

Nicole Anne Scivoletti-Polan is an Internal Medicine, Pulmonary Disease based in Mullica Hill, NJ. Nicole Anne Scivoletti-Polan practices in Mullica Hill, NJ and has the professional credentials of DO. The NPI Number for Nicole Anne Scivoletti-Polan is 1699098095 and holds a License No. MB08768700 (NJ). The current practice location address for Nicole Anne Scivoletti-Polan is 201 Tomlin Station RD Ste D, Mullica Hill, NJ 08062-1612 and can be reached out via phone at 856-853-2025 and via fax at 856-845-8024.

Provider Profile Details

NPI Number
1699098095
Provider Name
Nicole Anne Scivoletti-Polan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
201 Tomlin Station RD Ste D, Mullica Hill, NJ 08062-1612
Phone Number
856-853-2025
Fax Number
856-845-8024
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2010
Last Update Date
December 24, 2025
Certification Date
December 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Tomlin Station RD Ste D
Mullica Hill, NJ 08062-1612
Zip
08062-1612
Phone Number
856-853-2025
Fax Number
856-845-8024
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
134 Bridgeton Pike
Mullica Hill, NJ 08062-2616
City
Mullica Hill
State
NJ
Zip
08062-2616
Phone Number
856-507-2783
Fax Number
856-221-4138

License Information

License Number (1)
MB08768700
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
License Number (2)
MB08768700
License State (2)
NJ
License Number (3)
OS016572
License State (3)
PA
Taxonomy (3)
Internal Medicine, Pulmonary Disease · 207RP1001X

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. Nicole A Scivoletti-Polan, DO?

The NPI number of Dr. Nicole A Scivoletti-Polan, DO is 1699098095. It was assigned on March 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole A Scivoletti-Polan, DO?

Dr. Nicole A Scivoletti-Polan, DO is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in NJ under license number MB08768700.

Where does Dr. Nicole A Scivoletti-Polan, DO practice?

The practice location is 201 Tomlin Station RD Ste D, Mullica Hill, NJ 08062-1612. The office can be reached at 856-853-2025 (phone) or 856-845-8024 (fax).

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 1699098095 directly on the NPPES registry website.

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