Individual
DR. NICHOLAS L DEPACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LIBERTY PL, SICKLERVILLE, NJ 08081-5708
(856) 589-6034
(856) 589-6036
Mailing address
1100 LIBERTY PL, SICKLERVILLE, NJ 08081-5708
(856) 589-6034
(856) 589-6036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03627300
NJ
207R00000X
Internal Medicine Physician
MD023597E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03627300
NJ
207RC0000X
Cardiovascular Disease Physician
MD023597E
PA
207UN0901X
Nuclear Cardiology Physician
25MA03627300
NJ
207UN0901X
Nuclear Cardiology Physician
MD023597E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004610300
AMERICHOICE
NJ
01
—
0154010
GHI
NJ
01
—
0229598000
KEYSTONE HEALTH PLAN EAST
NJ
01
—
1048118
HORIZON NJ HEALTH
NJ
01
—
4100717
AETNA
NJ
05
—
5264103
—
NJ
01
—
530072
UNITED HEALTHCARE
NJ
01
—
P3785506
OXFORD
NJ
Enumeration date
06/16/2006
Last updated
02/18/2026
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