Nicole Paige Sgouros, FNP-C

Individual provider Active NPI Nurse Practitioner · Pine Hill, NJ

NPI 1134080096 · NPPES record last updated Nov 20, 2025

Key facts

NPI
1134080096
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
26NJ15467200 (NJ)
Practice address
31 Country Club Rd
Pine Hill, NJ 08021-6506
Phone
(856) 373-2169
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26NJ15467200NJMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15467200 NJ
Nurse Practitioner 363L00000X 26NJ15467200 NJ Yes

Addresses

Primary practice location

31 Country Club Rd
Pine Hill, NJ 08021-6506

Mailing address

31 Country Club Rd
Pine Hill, NJ 08021-6506

Other providers in Pine Hill, NJ

All providers in Pine Hill, NJ · Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.