Nicole Marie Pantano, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB08570100 Issued in NJ

Practice address

1 Bethany Rd
Building 5, Suite 65
Hazlet, NJ 07730-1663

Phone

(732) 264-0700

NPI assigned

Apr 23, 2009

Last updated

Jul 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.09 of 100Reported as apm

Quality

86.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
• Direct secure messaging: nicole.pantano@direct.hackensackmeridian.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hackensack Meridian Health Medical Group - Primary Care PC

  dba HMHMG Primary Care

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538

  Pediatrics

  Medicare reassignment NPD
• Jersey Shore Bethany Pediatrics

  • Pediatrics Physician
  • Hazlet, NJ
  • NPI 1194781591
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1033353933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "BUILDING 5, SUITE 65",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-264-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "BUILDING 5, SUITE 65",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-264-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08570100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Palazzo, LAC
• Jacqueline Palladino
• Laura K Palm, LCSW
• Jo Ann F Palumbo, MSW, LCSW
• Heena Pandya, M.D.
• Anthony Joseph Papania, PSY.D.
• Deborah Pape
• Noelle Parrino, M.S.ED, CF-SLP/SLS
• Parveen Uppal LLC (heart care center)
• Rocco F Pascucci, M.D.

• Pediatrics Physician in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.