Individual provider · Type 1 NPI

Nicole Castelluccio, PA-C

Physician Assistant · Maywood, NJ

NPI number 1992483929 Active

Practice location

113 W Essex St
Maywood, NJ 07607-1023

Fax (201) 603-1993

Mailing address

123 Metro Blvd
Nutley, NJ 07110-6101

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00791700 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992483929

Nicole Castelluccio, PA-C's National Provider Identifier is 1992483929, issued on Jul 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maywood, NJ. The record was last updated on Jun 20, 2024.