Nicole Dimiceli

Primary specialty

SpecialistTaxonomy code 174400000X

License

46TR00243600 Issued in NJ

Practice address

309 Engle St
Englewood, NJ 07631-1824

Phone

(201) 503-0447

Fax

(201) 567-4039

NPI assigned

Dec 4, 2006

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194893412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311824",
            "telephone_number": "201-503-0447",
            "fax_number": "201-567-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311824",
            "telephone_number": "201-503-0447",
            "fax_number": "201-567-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICELI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TR00243600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Braces of Norwalk
• Lauren Diener
• Digital Imaging Center, P.a.
• Digitrace Care Services Inc
• Tessa Dimasi, PA-C
• Isha Diora, DPM
• Carol Diparisi, CRNA
• Julia Fisher Divakaran, PSYD
• Eli S Djebiyan, MD
• Christine A. Doerr, APRN-BC

• Specialist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Specialist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.