Nicholas M Dilullo, PA-C
Physician Assistant in Minneapolis, Minnesota
1699120014- Practice location
- 2925 Chicago Ave, Minneapolis, MN 55407-1321
- Phone
- 612-262-7800
- Fax
- 612-262-7022
- Last updated
- November 20, 2025
Nicholas Mario Dilullo is a Physician Assistant based in Minneapolis, MN. Nicholas Mario Dilullo practices in Minneapolis, MN and has the professional credentials of PA-C. The NPI Number for Nicholas Mario Dilullo is 1699120014 and holds a License No. PA5714 (MA). The current practice location address for Nicholas Mario Dilullo is 2925 Chicago Ave, Minneapolis, MN 55407-1321 and can be reached out via phone at 612-262-7800 and via fax at 612-262-7022.
Provider Profile Details
- NPI Number
- 1699120014
- Provider Name
- Nicholas Mario Dilullo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2925 Chicago Ave, Minneapolis, MN 55407-1321
- Phone Number
- 612-262-7800
- Fax Number
- 612-262-7022
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2016
- Last Update Date
- November 20, 2025
- Certification Date
- November 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - City
- Minneapolis
- State
- Minnesota
- Zip
- 55407-1321
- Phone Number
- 612-262-7800
- Fax Number
- 612-262-7022
Provider Business Mailing Address Details
- Address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - City
- Minneapolis
- State
- MN
- Zip
- 55407-1321
- Phone Number
- 612-262-9000
License Information
- License Number (1)
- PA5714
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 15440
- License State (2)
- MN
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Nicholas M Dilullo, PA-C?
The NPI number of Nicholas M Dilullo, PA-C is 1699120014. It was assigned on May 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Nicholas M Dilullo, PA-C?
Nicholas M Dilullo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5714.
Where does Nicholas M Dilullo, PA-C practice?
The practice location is 2925 Chicago Ave, Minneapolis, MN 55407-1321. The office can be reached at 612-262-7800 (phone) or 612-262-7022 (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 1699120014 directly on the NPPES registry website.