Nicos Nicolaou
CENTERS FOR ADVANCED UROLOGY LLC


Address: 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017
Phone: 6106324100

Nicos Nicolaou (NPI# 1619998085, PAC ID# 4981730454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1619998085
PAC ID by PECOS 4981730454
Professional Enrollment ID I20100414000162
Full Name Nicos Nicolaou
Organization Legal Name CENTERS FOR ADVANCED UROLOGY LLC
Address 1 Presidential Blvd
Bala Cynwyd
PA 19004-1017
Phone Number 6106324100
Gender M
Graduation Year 1984
Primary Specialty RADIATION ONCOLOGY
Group Practice PAC ID 3274800941
Number of Group Practice Members 84
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390195 MAIN LINE HOSPITAL LANKENAU

Other Locations

Address Phone Organization
1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 6106324100 CENTERS FOR ADVANCED UROLOGY LLC
1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1015 6106673020 UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP
2705 Dekalb Pike, Suite 302, Norristown, PA 19401-1852 6106673020 UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name CENTERS FOR ADVANCED UROLOGY LLC
Physicians 80

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Office Location

Street Address 1 PRESIDENTIAL BLVD
City BALA CYNWYD
State PA
Zip 19004-1017

Physicians in the same location

Name Specialty Organization Address
Samuel J Manfrey Urology Centers for Advanced Urology LLC 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017
Laurence H Belkoff Urology Centers for Advanced Urology LLC 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017

Physicians in the same zip code

Name Specialty Organization Address
John U Doherty Cardiovascular Disease (cardiology) Jefferson University Physicians 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004
Marc A Tecce Cardiovascular Disease (cardiology) Jefferson University Physicians 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004
Pooja Singh Nephrology Jefferson University Physicians 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004
Ira S Cohen Cardiovascular Disease (cardiology) Jefferson University Physicians 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004
Wieslaw K Prokop Anesthesiology 15 N Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1000
Ronald K Ebert Psychologist, Clinical 15 Presidential Blvd, Suite 101, Bala Cynwyd, PA 19004-1000
Thomas J Gerbner Psychologist, Clinical 15 Presidential Blvd, Suite 202, Bala Cynwyd, PA 19004-1021
Richard Schmidt Orthopedic Surgery 15 N Presidential Blvd, Suite 300, Bala Cynwyd, PA 19004-1022
Anthony Lee Rosa Gastroenterology Gastrointestinal Specialists Inc 10 Presidential Blvd, Suite 124, Bala Cynwyd, PA 19004-1107
Harvey B Lefton Gastroenterology Gastrointestinal Specialists Inc 10 Presidential Blvd, Suite 124, Bala Cynwyd, PA 19004-1107
Find all physicians in zip 19004

Competitor

Search similar physicians

City BALA CYNWYD
Zip Code 19004
Specialty RADIATION ONCOLOGY
City + Specialty BALA CYNWYD + RADIATION ONCOLOGY

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Dataset Information

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.

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