Individual provider Active NPI

Nicole Maria Meola, RN, MS,RNFA

  • Registered Nurse First Assistant
  • Medford, NJ
National Provider Identifier
1154589877
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
NO092853 Issued in NJ
Practice address
15 W Lake Rd
Medford, NJ 08055-8105
Phone
(856) 810-3970
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X NO092853 NJ Primary

Addresses

Primary practice location

15 W Lake Rd
Medford, NJ 08055-8105

Mailing address

15 W Lake Rd
Medford, NJ 08055-8105
Phone (856) 810-3970

Other names 1

  • Ms. Nicole Maria Meola-Burke Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NO092853NJMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1154589877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W LAKE RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558105",
            "telephone_number": "856-810-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W LAKE RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558105",
            "telephone_number": "856-810-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOLA",
        "first_name": "NICOLE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "RN, MS,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "NO092853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MEOLA-BURKE",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "credential": "RN,MS,RNFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.