Carlo G Nicolis (NPI# 1841226909, PAC ID# 4981626454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1841226909 |
| PAC ID by PECOS | 4981626454 |
| Professional Enrollment ID | I20080125000351 |
| Full Name | Carlo G Nicolis |
| Organization Legal Name | CENTERS FOR ADVANCED UROLOGY LLC |
| Address |
500 Evergreen Dr G5 Garden Terrace Academic Urology Crozer Glen Mills PA 19342-1032 |
| Phone Number | 6105793577 |
| Gender | M |
| Credential | MD |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 1999 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3274800941 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390180 | CROZER CHESTER MEDICAL CENTER |
| 390222 | RIDDLE MEMORIAL HOSPITAL |
| 390081 | DELAWARE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Maris Grove Way, Academic Urology, Glen Mills, PA 19342-1282 | 6105793577 | CENTERS FOR ADVANCED UROLOGY LLC |
| 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 | 6105793577 | CENTERS FOR ADVANCED UROLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTERS FOR ADVANCED UROLOGY LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn J Paik | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| Gregory Thompson | Urology | Centers for Advanced Urology LLC | 245 S Bryn Mawr Ave, Uhs Bryn Mawr, Bryn Mawr, PA 19010-2221 |
| Nicos Nicolaou | Radiation Oncology | Centers for Advanced Urology LLC | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 |
| Peter O Oskanian | Urology | Centers for Advanced Urology LLC | 20 N Sunnybrook Rd, Academic Urology Pottstown, Pottstown, PA 19464-2946 |
| Teodora A Schellato | Urology | Centers for Advanced Urology LLC | 231 N Broad St Fl, 2 Ucosp Hahnemann Office, Philadelphia, PA 19107-1511 |
| Jeffrey N Gordon | Urology | Centers for Advanced Urology LLC | 2301 E Allegheny Ave Fl, 3 Northeastern Care Center, Philadelphia, PA 19134-4427 |
| Steven Martin Salva | Urology | Centers for Advanced Urology LLC | 455 Woodview Rd, 230 Uhs Chester County, West Grove, PA 19390-9301 |
| Pierre Y Ghayad | Urology | Centers for Advanced Urology LLC | 1974 Sproul Rd, Suite 106, Broomall, PA 19008-3402 |
| Craig Alan Landow | Urology | Centers for Advanced Urology LLC | 1088 W Baltimore Pike Hc II, Suite 2304 Uhs Media, Media, PA 19063-5136 |
| Mehrdad M Soroush | Urology | Centers for Advanced Urology LLC | 919 Conestoga Rd, Suite 300, Bryn Mawr, PA 19010-1352 |
| Street Address |
500 EVERGREEN DR G5 GARDEN TERRACE ACADEMIC UROLOGY CROZER |
| City | GLEN MILLS |
| State | PA |
| Zip | 19342-1032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn J Paik | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| George Dakwar | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| Stephen R Walker | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| Frank I Delia | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| Robert J Gary | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Martin Paolino | Oral Surgery | 15 Regency Plz, Glen Mills, PA 19342-1000 | |
| Eric S Balcavage | Chiropractic | 17 Regency Plz, Glen Mills, PA 19342-1000 | |
| James B Murphy | Oral Surgery | 15 Regency Plz, Glen Mills, PA 19342-1000 | |
| Amy Schullery | Psychologist, Clinical | 26 Regency Plz, Glen Mills, PA 19342-1001 | |
| Michele Lamoreux Schneider | Family Medicine | 37 Regency Plz, Glen Mills, PA 19342-1002 | |
| Patricia Michel Kelly | Psychologist, Clinical | Kelly Counseling and Consulting, LLC | 38 Regency Plz, Glen Mills, PA 19342-1002 |
| Rhondene Monique Miller | Psychologist, Clinical | Kelly Counseling and Consulting, LLC | 38 Regency Plz, Glen Mills, PA 19342-1002 |
| Katherine G Deatrich | Clinical Psychologist | Kelly Counseling and Consulting, LLC | 38 Regency Plz, Glen Mills, PA 19342-1002 |
| Cynthia E Lee | Emergency Medicine | Main Line Healthcare | 1020 Baltimore Pike, Suite 100, Glen Mills, PA 19342-1013 |
| Bessie Difilippo | Nurse Practitioner | Main Line Healthcare | 1020 Baltimore Pike, Suite 100, Glen Mills, PA 19342-1013 |
| Find all physicians in zip 19342 | |||
| City | GLEN MILLS |
| Zip Code | 19342 |
| Specialty | UROLOGY |
| City + Specialty | GLEN MILLS + UROLOGY |
Please comment or provide details below to improve the information on Carlo G Nicolis.
| 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.