Active NPI
Crystal Nicosia, FNP
- Family Nurse Practitioner
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP032710
- Practice address
- 307 Egg Harbor Rd
Sewell, NJ 08080-1850 - Phone
- (866) 389-2727
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15320200 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 0024192898 | VA | |
| Family Nurse Practitioner | 363LF0000X | 53-78595-112 | KS | |
| Family Nurse Practitioner | 363LF0000X | 122379 | WV | |
| Family Nurse Practitioner | 363LF0000X | 30174 | SC | |
| Family Nurse Practitioner | 363LF0000X | 202235 | ND | |
| Family Nurse Practitioner | 363LF0000X | 14498 | CT | |
| Family Nurse Practitioner | 363LF0000X | SP032710 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN203708 | GA | |
| Family Nurse Practitioner | 363LF0000X | 16604-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 357510 | NY | |
| Family Nurse Practitioner | 363LF0000X | 5022027 | NC | |
| Family Nurse Practitioner | 363LF0000X | CP003605 | SD |
Addresses
Primary practice location
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Mailing address
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (877) 993-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, KS, WI, CT, VA, DC, NC, PA, NJ, SC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727
1650 N Farwell Ave
Milwaukee, WI 53202-2331
Phone (866) 389-2727
19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (866) 389-2727
375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727
390 Limit St
Leavenworth, KS 66048-4525
Phone (866) 389-2727
698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 80.74
- Improvement activities
- 40
- Cost
- 78.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14498 | CT | MD | Family Nurse Practitioner |
| RN203708 | GA | MD | Family Nurse Practitioner |
| 53-78595-112 | KS | MD | Family Nurse Practitioner |
| 5022027 | NC | MD | Family Nurse Practitioner |
| 202235 | ND | MD | Family Nurse Practitioner |
| 26NJ15320200 | NJ | MD | Family Nurse Practitioner |
| 357510 | NY | MD | Family Nurse Practitioner |
| SP032710 | PA | MD | Family Nurse Practitioner |
| CP003605 | SD | MD | Family Nurse Practitioner |
| 0024192898 | VA | MD | Family Nurse Practitioner |
| 16604-33 | WI | MD | Family Nurse Practitioner |
| 122379 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Diagnostic of Connecticut, P.C. | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Pennsylvania LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic South Carolina LLC | Family | Current | Accepting new patients |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of New Jersey LLC | Family | Current | Accepting new patients |
| Primary Care PLLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Kansas PA | Family | Current | Accepting new patients |
| Minuteclinic Video Virtual Care, PLLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Wisconsin, LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of North Carolina PC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Minuteclinic Video Virtual Care of Wisconsin, SC | Family | Current | Accepting new patients |
Locations
3514 Main St
Coventry, CT 06238
Phone (860) 298-5925
323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
390 Limit St
Leavenworth, KS 66048
Phone (913) 651-2323
11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546
2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
471 Main St
Chatham, NJ 07928
Phone (973) 635-4636
4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700
307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044
Interoperability endpoints
- cnicosia815327@direct.sw.org
Organizations & group practices 13
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.
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Family Nurse Practitioner
- Leawood, KS
- NPI 1629005558
-
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1932732914
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1316402746
PA, SC
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- Family Nurse Practitioner
- Bryn Mawr, PA
- NPI 1881738037
-
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1346664216
-
- Family Nurse Practitioner
- Simpsonville, SC
- NPI 1447420815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1154747970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801850",
"telephone_number": "877-993-4321",
"fax_number": "401-537-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801850",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOSIA",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15320200",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024192898",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-78595-112",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "122379",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "30174",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "202235",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "14498",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP032710",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN203708",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "16604-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "357510",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5022027",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP003605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.