NICOLE PIVONKA


Address: 315 Route 70 E, Cherry Hill, NJ 08034-2408
Phone: 8563756240

NICOLE PIVONKA (NPI# 1649823519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649823519
Entity Type Individual
Full Name NICOLE PIVONKA
Credential BSN, RN
Practice Address 315 Route 70 E
Cherry Hill
NJ 08034-2408
Mailing Address 301 Lippincott Dr Ste 410
Marlton
NJ 08053-4197
Practice Telephone 8563756240
Practice Fax Number 8563756241
Mailing Telephone 8563550340
Mailing Fax Number 8563550330
Enumeration Date 2019-07-19
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
26NR18617100 NJ Nursing Service Providers
Y 363L00000X Nurse Practitioner 26NJ00986300 NJ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Bowman Dr, Voorhees, NJ 080439612 8562473000

Office Location

Street Address 315 ROUTE 70 E
City CHERRY HILL
State NJ
Zip Code 08034-2408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194088575 Muthu Vel Sivasankaran Preventive Medicine 315 Route 70 E, Cherry Hill, NJ 08034-2408 2012-06-20
1164972998 Virtua Medical Group, Pa Clinic/Center 315 Route 70 E, Cherry Hill, NJ 08034 2016-10-05
1457761223 Krishna Konakondla Family Medicine 315 Route 70 E, Cherry Hill, NJ 08034-2408 2014-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821606054 Glickman Psychological Services, LLC Psychologist 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 2020-07-14
1215455225 Arc of Camden County Millhurst Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 2017-08-30
1144748120 Arc of Camden County Chanticleer Drive Supported Living Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 712 Chanticleer Drive, Cherry Hill, NJ 08034 2017-08-30
1124558689 1 Choice Home Health Care, LLC Home Health 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 2017-06-18
1205362621 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 Wayland Rd, Cherry Hill, NJ 08034 2017-05-04
1598291940 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Brookdale Dr, Cherry Hill, NJ 08034 2017-05-04
1861928285 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Portsmouth Rd, Cherry Hill, NJ 08034 2017-05-04
1265967954 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Farmhouse Ln, Maple Shade, NJ 08034 2017-05-01
1023543709 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Cranford Rd, Cherry Hill, NJ 08034 2017-05-01
1588199269 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Colgate Drive, Cherry Hill, NJ 08034 2017-05-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235759994 Naomi E Lubkin Nurse Practitioner 404 Longstone Dr, Cherry Hill, NJ 08003-1989 2020-04-23
1538620968 Sylvie Felix Nurse Practitioner 203 Victor Ave, Cherry Hill, NJ 08002-4424 2019-03-28
1912416645 Jane G Lewis Nurse Practitioner 1017 Annapolis Ln, Cherry Hill, NJ 08003-2801 2017-09-26
1699143578 Jennifer Serna Nurse Practitioner 1210 Brace Rd Ste 103, Cherry Hill, NJ 08034-3213 2015-09-09
1295765089 Heather Guiliano Nurse Practitioner 101 Springdale Rd, Cvs Minuteclinnic, Cherry Hill, NJ 08003 2006-07-04
1538787098 Holistic Primary Care & Behavioral Health Services LLC Nurse Practitioner 203 Victor Ave, Cherry Hill, NJ 08002-4424 2020-07-10
1205471166 Alexine J Froissard Nurse Practitioner 1865 Route 70 E, Cherry Hill, NJ 08003-2005 2019-11-14
1760968382 Ninfa Recinto Nurse Practitioner 401 Kings Hwy S Ste 5, Cherry Hill, NJ 08034-2500 2018-07-17
1114435872 Shero Housecalls LLC Nurse Practitioner 226 Dickens Ct, Cherry Hill, NJ 08034-2837 2018-01-16
1134661630 Linda Hodnett Nurse Practitioner 1949 Marlton Pike E, Suite 1, Cherry Hill, NJ 08003-2145 2016-11-15
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Competitor

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City CHERRY HILL
Zip Code 08034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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