Philip Vincent Locicero, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN2316062 Issued in MA

Practice address

330 Long Pond Rd
Plymouth, MA 02360-2609

Phone

(631) 681-0861

NPI assigned

Nov 16, 2021

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric E Johnson MD PC

  • Internal Medicine Physician
  • Plymouth, MA
  • NPI 1821192535
  Medicare reassignment NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1255097036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602609",
            "telephone_number": "631-681-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602609",
            "telephone_number": "631-681-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCICERO",
        "first_name": "PHILIP",
        "middle_name": "VINCENT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "RN2316062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janys Littlefield
• Chang Liu
• Luke Jiaxiang Liu, M.D.
• LK Vision Inc
• Khyleigh Lobo
• Dianne Senter Lockwood, LICSW
• Michelle J Lockwood, PSY.D.
• Elizabeth Eileen Loehfelm, PH.D.
• Maureen Ellen Logan-Zemina, R.N.
• Kelli Rae Logan, LMT/ PTA

• Medical-Surgical Registered Nurse in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Medical-Surgical Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.