Individual
JOHN P. NOLAN
Active
Individual
JOHN P. NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB04857900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048137000
AMERIHEALTH / KEYSTONE
—
01
—
0936901001
CIGNA
—
01
—
1092796
HORIZON NJ HEALTH
NJ
05
—
1617206
—
NJ
01
—
222445694
TAX ID
NJ
01
—
250002698
RAILROAD MEDICARE
NJ
01
—
2K7019
HEALTHNET
—
01
—
4223926
AETNA
—
01
—
586404
INDEPENDENCE BCBS
—
01
—
732400
AMERICAID
NJ
Enumeration date
06/14/2006
Last updated
05/13/2026
Update your record
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