Nicole Castelluccio, PA-C
Physician Assistant in Maywood, New Jersey
1992483929- Practice location
- 113 W Essex St, Maywood, NJ 07607-1023
- Phone
- 201-487-3400
- Fax
- 201-603-1993
- Last updated
- June 20, 2024
Nicole Castelluccio is a Physician Assistant based in Maywood, NJ. Nicole Castelluccio practices in Maywood, NJ and has the professional credentials of PA-C. The NPI Number for Nicole Castelluccio is 1992483929 and holds a License No. 25MP00791700 (NJ). The current practice location address for Nicole Castelluccio is 113 W Essex St, Maywood, NJ 07607-1023 and can be reached out via phone at 201-487-3400 and via fax at 201-603-1993.
Provider Profile Details
- NPI Number
- 1992483929
- Provider Name
- Nicole Castelluccio
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 W Essex St, Maywood, NJ 07607-1023
- Phone Number
- 201-487-3400
- Fax Number
- 201-603-1993
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 10, 2023
- Last Update Date
- June 20, 2024
- Certification Date
- June 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 W Essex St
Maywood, NJ 07607-1023 - City
- Maywood
- State
- New Jersey
- Zip
- 07607-1023
- Phone Number
- 201-487-3400
- Fax Number
- 201-603-1993
Provider Business Mailing Address Details
- Address
- 123 Metro Blvd
Nutley, NJ 07110-6101 - City
- Nutley
- State
- NJ
- Zip
- 07110-6101
- Phone Number
- 973-761-9000
- Fax Number
- 201-603-1993
License Information
- License Number
- 25MP00791700
- License State
- NJ
- Taxonomy
- 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 Nicole Castelluccio, PA-C?
The NPI number of Nicole Castelluccio, PA-C is 1992483929. It was assigned on July 10, 2023 and is currently active in the NPPES registry.
What is the specialty of Nicole Castelluccio, PA-C?
Nicole Castelluccio, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00791700.
Where does Nicole Castelluccio, PA-C practice?
The practice location is 113 W Essex St, Maywood, NJ 07607-1023. The office can be reached at 201-487-3400 (phone) or 201-603-1993 (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 1992483929 directly on the NPPES registry website.