DONNA NICKLES NPI 1063400547

NPI Information

  • NPI: 1063400547
  • Provider Name: DONNA NICKLES
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 80 EISENHOWER DR
    SUITE 200
    PARAMUS, NJ
    ZIP 07652
  • Phone: (201) 843-2800

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NPI Details

Donna Nickles is a specialist in Paramus, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Donna Nickles NPI is 1063400547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 EISENHOWER DR
SUITE 200
PARAMUS, NJ
ZIP 07652-401
Phone: (201) 843-2800
Fax: (973) 939-0273

The NPI 1063400547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 4/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MB03792500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10105583000OTHERNEW JERSEYAMERIHEALTH #
239F312OTHERNEW JERSEYEMPIRE BCBS #
31K4890OTHERNEW JERSEYHEALTHNET #
42807666OTHERNEW JERSEYAETNA HMO #
5C53802MEDICARE UPINNEW JERSEY
6P2631203OTHERNEW JERSEYOXFORD #
74252756OTHERNEW JERSEYAETNA PPO #
8160055692OTHERNEW JERSEYRAILROAD MCR #
9456089B8LMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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