Nicole A Ciullo (NPI# 1366745762, PAC ID# 5294996963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
Nation Provider ID (NPI) | 1366745762 |
PAC ID by PECOS | 5294996963 |
Professional Enrollment ID | I20120406000038 |
Full Name | Nicole A Ciullo |
Address |
12401 Academy Rd Philadelphia PA 19154-1932 |
Phone Number | 2156373100 |
Gender | F |
Graduation Year | 2004 |
Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
707 N Main St, Suite 2, Glassboro, NJ 08028-1605 | 8562946351 | |
230 N Maple Ave, Suite B10, Marlton, NJ 08053-9423 | 8563962500 | |
12401 Academy Rd, Philadelphia, PA 19154-1932 | 2156373100 |
Street Address |
12401 ACADEMY RD |
City | PHILADELPHIA |
State | PA |
Zip | 19154-1932 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hal B Ganzman | Family Medicine | Pinnacle Physicians Group LLC | 12401 Academy Rd, Suite 203, Philadelphia, PA 19154-1934 |
Carol Ann Verdi | General Practice | Pinnacle Physicians Group LLC | 12401 Academy Rd, Suite 203, Philadelphia, PA 19154-1934 |
Name | Specialty | Organization | Address |
---|---|---|---|
Violetta Berdichevskaya | Internal Medicine | Pa Department of Military and Veterans Affairs | 2701 Southampton Rd, Philadelphia, PA 19154-1205 |
Kenya Martin | Nurse Practitioner | American Current Care Pa | 2804 Southampton Rd, Philadelphia, PA 19154-1207 |
Francis J Mccaffery Iv | Chiropractic | 2808 Southampton Rd, Philadelphia, PA 19154-1207 | |
Karen Judith Scheer | Family Medicine | Hr Physician Services | 12265 Townsend Rd, Suite 400, Philadelphia, PA 19154-1214 |
Edward J Ciecko | Family Medicine | 12301 Medford Rd, Philadelphia, PA 19154-1924 | |
Brian J Kirby | Physical Therapy | Capstone Physical Therapy and Fitness LLC | 10980 Norcom Rd, Philadelphia, PA 19154-2302 |
Mini Varghese | Psychiatry | Merakey Philadelphia | 11082 Knights Rd, Philadelphia, PA 19154-3511 |
Robert M Pezzano | Clinical Social Worker | Merakey Philadelphia | 11082 Knights Rd, Philadelphia, PA 19154-3511 |
Karen Kelley | Clinical Social Worker | Merakey Philadelphia | 11082 Knights Rd, Philadelphia, PA 19154-3511 |
City | PHILADELPHIA |
Zip Code | 19154 |
Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
City + Specialty | PHILADELPHIA + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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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.