Nicholas Gerard Pellicoro is a Nutley, New Jersey based male podiatrist who is specialized in Podiatry. Active license number of Nicholas Gerard Pellicoro for Podiatry is 25MD00177800 in New Jersey. Nicholas Gerard Pellicoro is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Nicholas Gerard Pellicoro speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
530 Franklin Avenue, Nutley, New Jersey, 07110-1720
Phone:
973-667-1066
Fax:
732-752-8054
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1508922410
NPI Enumeration Date:
28 Dec, 2006
NPI Last Update On:
17 May, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Gerard Pellicoro are as mentioned below.
License Number
Specialization
State
Status
25MD00177800
Podiatry
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicholas Gerard Pellicoro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
166470101
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
530 Franklin Ave, Nutley, New Jersey
Zip:
07110-1720
Phone Number:
973-667-1066
Fax Number:
732-752-8054
Patients can reach Nicholas Gerard Pellicoro at 530 Franklin Avenue, Nutley, New Jersey or can call to book an appointment on 973-667-1066. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.