Individual
NICHOLAS T PECORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 VALLEY BLVD, WOOD-RIDGE, NJ 07075-1236
(201) 438-5500
(201) 438-3363
Mailing address
245 VALLEY BLVD, WOOD-RIDGE, NJ 07075-1236
(201) 438-5500
(201) 438-3363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06462500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110207170
RR MEDICARE
NJ
01
—
1K5877
HEALTHNET
NJ
01
—
5151665
AETNA PPO
NJ
05
—
7088407
—
NJ
01
—
8097769
CIGNA HMO
NJ
01
—
P867458
OXFORD
NJ
Enumeration date
03/14/2006
Last updated
12/04/2012
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