Nicholas Andrew Puccio, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00650900 Issued in NJ

Practice address

45 Homestead Dr
Suite a
Columbus, NJ 08022-1004

Phone

(609) 324-7778

Fax

(609) 324-7742

NPI assigned

Oct 27, 2006

Sex

Male

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

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Puccio Chiropractic LLC

  • Chiropractor
  • Columbus, NJ
  • NPI 1891816054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063598647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOMESTEAD DR",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221004",
            "telephone_number": "609-324-7778",
            "fax_number": "609-324-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOMESTEAD DR",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221004",
            "telephone_number": "609-324-7778",
            "fax_number": "609-324-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCIO",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00650900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Andrea Pennant
• Steven J Platt, MPT,ATC
• Prathibha Potharlanka LLC (Advance Medicine and Wellness)
• Premier Medicine Associates PA
• Puccio Chiropractic LLC
• Eric Brian Pullen, RP
• Mackenzie Logan Purr, PT, DPT
• Brandi J Rappaport, MD
• Hajira Naaz Razak, M.D.
• Howard William Redlus, DVM

• Chiropractor in Columbus, NJ
• Providers in Columbus, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.