Jack Nocera, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012889 Issued in NY

Practice address

1200 East and West Rd
West Seneca, NY 14224-3604

Phone

(716) 517-2302

Fax

(716) 517-3716

NPI assigned

Sep 23, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1104076546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EAST AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243604",
            "telephone_number": "716-517-2302",
            "fax_number": "716-517-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243604",
            "telephone_number": "716-517-2302",
            "fax_number": "716-517-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCERA",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Nicotra
• Nicholas Stanley Nikel, RN
• Cynthia M Nikiel, OT
• Anne Marie Nikirk, PA-C
• Shannon Niver, MS CCC SLP
• John Derxson Norlund, M.D.
• Gregory Notaro, RPH
• Novelli Wellness Chiropractic Physical Therapy and Nurse Practitioner
• Stephen Novelli, DC
• Jeannette B Nowak, OTR/L

• All providers in West Seneca, NY
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.