Active NPIIndividual providerSole proprietor

Peter De Cicco, L AC

Acupuncturist in Ridgewood, New Jersey

NPI Number1871981944
Practice location
555 Goffle RD Ste 222, Ridgewood, NJ 07450-4036
Fax
—
Last updated
August 10, 2020

Peter De Cicco is an Acupuncturist based in Ridgewood, NJ. Peter De Cicco practices in Ridgewood, NJ and has the professional credentials of L AC. The NPI Number for Peter De Cicco is 1871981944 and holds a License No. 25005389 (NY). The current practice location address for Peter De Cicco is 555 Goffle RD Ste 222, Ridgewood, NJ 07450-4036 and can be reached out via phone at 201-652-1200.

Provider Profile Details

NPI Number
1871981944
Provider Name
Peter De Cicco
Credential
L AC
Provider Entity Type
Individual
Gender
Male
Address
555 Goffle RD Ste 222, Ridgewood, NJ 07450-4036
Phone Number
201-652-1200
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 24, 2014
Last Update Date
August 10, 2020
Certification Date
August 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Goffle RD Ste 222
Ridgewood, NJ 07450-4036
Zip
07450-4036
Phone Number
201-652-1200
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
555 Goffle RD Ste 222
Ridgewood, NJ 07450-4036
City
Ridgewood
State
NJ
Zip
07450-4036
Phone Number
201-652-1200

License Information

License Number
25005389
License State
NY
Taxonomy
Acupuncturist · 171100000X · 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 Peter De Cicco, L AC?

The NPI number of Peter De Cicco, L AC is 1871981944. It was assigned on December 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Peter De Cicco, L AC?

Peter De Cicco, L AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 25005389.

Where does Peter De Cicco, L AC practice?

The practice location is 555 Goffle RD Ste 222, Ridgewood, NJ 07450-4036. The office can be reached at 201-652-1200 (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 1871981944 directly on the NPPES registry website.

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