Nicholas J Bevilacqua (NPI# 1487754131, PAC ID# 1254438625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1487754131 |
| PAC ID by PECOS | 1254438625 |
| Professional Enrollment ID | I20100826000472 |
| Full Name | Nicholas J Bevilacqua |
| Organization Legal Name | NORTH JERSEY ORTHOPAEDIC SPECIALISTS P.A. |
| Address |
15 Ver Valen St Closter NJ 07624-2635 |
| Phone Number | 2017846800 |
| Gender | M |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5092795765 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310008 | HOLY NAME MEDICAL CENTER |
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 15 Ver Valen St, Closter, NJ 07624-2635 | 2017846800 | NORTH JERSEY ORTHOPAEDIC SPECIALISTS P.A. |
| 730 Palisade Ave, Teaneck, NJ 07666-3144 | 2013539000 | NORTH JERSEY ORTHOPAEDIC SPECIALISTS P.A. |
| Organization Legal Name | NORTH JERSEY ORTHOPAEDIC SPECIALISTS P.A. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne D Encarnacion | Physical Therapy | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| John M Owens | Orthopedic Surgery | North Jersey Orthopaedic Specialists P.a. | 106 Grand Ave, Englewood, NJ 07631-3574 |
| Marigona Hakiqi | Physician Assistant | North Jersey Orthopaedic Specialists P.a. | 730 Palisade Ave, Teaneck, NJ 07666-3144 |
| Jonathan M Archer | Orthopedic Surgery | North Jersey Orthopaedic Specialists P.a. | 106 Grand Ave, Englewood, NJ 07631-3574 |
| Philip Barba | Physical Therapy | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| Jake P Zarah | Orthopedic Surgery | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| David J Penn | Physician Assistant | North Jersey Orthopaedic Specialists P.a. | 730 Palisade Ave, Teaneck, NJ 07666-3144 |
| Thea Omega Dela Cuesta | Physical Therapy | North Jersey Orthopaedic Specialists P.a. | 730 Palisade Ave, Teaneck, NJ 07666-3144 |
| Alexander M Estacio | Physical Therapy | North Jersey Orthopaedic Specialists P.a. | 730 Palisade Ave, Teaneck, NJ 07666-3144 |
| Rehan Shamim | Orthopedic Surgery | North Jersey Orthopaedic Specialists P.a. | 730 Palisade Ave, Teaneck, NJ 07666-3144 |
| Street Address |
15 VER VALEN ST |
| City | CLOSTER |
| State | NJ |
| Zip | 07624-2635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne D Encarnacion | Physical Therapy | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| Philip Barba | Physical Therapy | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| Jake P Zarah | Orthopedic Surgery | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| Jen F Lee | Orthopedic Surgery | North Jersey Orthopaedic Specialists P.a. | 15 Ver Valen St, Closter, NJ 07624-2635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Waldron | Psychologist, Clinical | 20 Piermont Rd, Closter, NJ 07624-1533 | |
| Sophia Danita Reid | Dermatology | Trokhan Dermatology, LLC | 235 Closter Dock Rd, Closter, NJ 07624-1907 |
| Eileen Q Trokhan | Dermatology | Trokhan Dermatology, LLC | 235 Closter Dock Rd, Closter, NJ 07624-1907 |
| John K Parron | Orthopedic Surgery | 235 Closter Dock Rd, Closter, NJ 07624-1907 | |
| Shawn Trokhan | Orthopedic Surgery | 235 Closter Dock Rd, Closter, NJ 07624-1907 | |
| Jonathan David Friedman | Clinical Psychologist | Cor Support LLC | 294 Harrington Ave, Suite 6, Closter, NJ 07624-1912 |
| Jennifer A Carlson | Clinical Psychologist | Cor Support LLC | 294 Harrington Ave, Suite 6, Closter, NJ 07624-1912 |
| Debbie Edegran | Optometry | 520 Durie Ave, Closter, NJ 07624-2008 | |
| Aileen T Twomey | Nurse Practitioner | Mpv New Jersey Md Services PC | 1 Ruckman Rd, Closter, NJ 07624-2100 |
| Donabella P Magdadaro | Physical Therapy | Advanced Associates for Diagnosis and Physical Rehabilitation LLC | 277 Closter Dock Rd, Suite 6, Closter, NJ 07624-2445 |
| Find all physicians in zip 07624 | |||
| City | CLOSTER |
| Zip Code | 07624 |
| Specialty | PODIATRY |
| City + Specialty | CLOSTER + PODIATRY |
Please comment or provide details below to improve the information on Nicholas J Bevilacqua.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.