NPIMap

Individual provider Active NPI

Niccole M Oswald, MD

  • Family Medicine Physician
  • Silverdale, PA
National Provider Identifier
1285628180
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD418021 Issued in PA
Practice address
164 Main St
Silverdale, PA 18962
Phone
(215) 258-3810
Fax
(215) 258-3815
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD418021 PA Primary

Addresses

Primary practice location

164 Main St
Silverdale, PA 18962

Mailing address

PO Box 420
Silverdale, PA 18962-0420
Phone (215) 258-3810

Other identifiers 1

IdentifierTypeStateIssuer
001749964OtherPAHIGHMARK BCBS

Other names 1

  • Niccole M Mambu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803001013 PA Practitioner - Family Practice 6507894151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD418021PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Kuhar D O Internal Medicine P C CurrentSince Apr 23, 2012 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Joseph F. Mambu, MD PC PastSince May 21, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: noswald333200@direct-sluhn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1285628180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "189620420",
            "telephone_number": "215-258-3810",
            "fax_number": "833-616-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "18962",
            "telephone_number": "215-258-3810",
            "fax_number": "215-258-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "NICCOLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD418021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "001749964",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICCOLE",
            "last_name": "MAMBU",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, PA

Sources for this page

Verify at the official NPI Registry.