NPIMap

Individual provider Active NPI

Nicole Christina Zucconi, D.O.

  • Family Medicine Physician
  • Millville, NJ
National Provider Identifier
1053651398
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09356600 Issued in NJ
Practice address
2148 N 2ND St Ste a
Millville, NJ 08332-1304
Phone
(856) 641-6272
NPI assigned
Feb 24, 2013
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09356600 NJ Primary

Addresses

Primary practice location

2148 N 2ND St Ste a
Millville, NJ 08332-1304

Mailing address

134 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2616
Phone (856) 641-6272

Other names 1

  • Nicole Spicer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108000500 NJ Practitioner - Family Practice 2769617281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

2148 N 2ND St
Suite a
Millville, NJ 08332-1304
Phone (856) 641-6272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB09356600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Street Family Practice Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jul 1, 2014 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

2148 N 2nd St
Ste A
Millville, NJ 08332
Phone (856) 641-6022

134 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 478-2111

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

220 Pine St
Williamstown, NJ 08094
Phone (856) 309-9777

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1053651398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRIDGETON PIKE STE C",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622616",
            "telephone_number": "856-641-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 N 2ND ST STE A",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321304",
            "telephone_number": "856-641-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCONI",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09356600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SPICER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.