Nicole Hurtado, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MP00535000 Issued in NJ

Practice address

18 W Blackwell St
Dover, NJ 07801-3841

Phone

(973) 328-3344

NPI assigned

Jul 24, 2019

Last updated

Apr 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Beth Israel Lahey Health Primary Care, IncGroup PAC ID 7719291434, 351 clinicians

Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Zufall Health Center, IncGroup PAC ID 2365448461, shared by 10 NPIs, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

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.

• Beth Israel Lahey Health Primary Care Inc

  dba Lahey Health Urgent Care, Middleboro

  • Clinic/Center
  • Middleboro, MA
  • NPI 1568292423
  Medicare reassignment Care Compare group NPD
• Am PM Walk in Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1073853859
  Medicare reassignment Care Compare group
• Zufall Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dover, NJ
  • NPI 1548515091
  Medicare reassignment NPD
• Zufall Health Center, Inc

  • Community/Retail Pharmacy
  • Dover, NJ
  • NPI 1285324673
  NPD
• Beth Israel Lahey Health Primary Care, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1508244195
  NPD
• Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1083045694
  NPD (past)
• Zufall Health Center,Inc

  • Community Health Clinic/Center
  • Dover, NJ
  • NPI 1902990880
  NPD (past)

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

• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  Care Compare affiliation
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  Care Compare affiliation

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1396399747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WARD AVE",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013841",
            "telephone_number": "973-328-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Tozer Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155514",
            "country_code": "US",
            "telephone_number": "978-927-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA102306",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MP00535000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health and Wellness Center of Dover LLC
• Health in Code, Inc
• Kelly E Hoffman, PA-C
• Hope ABA Therapy of North Jersey
• Hope House; a Division of Catholic Family and Community Services
• Cheryl A Iannicelli, R.D.
• Ideal Rnfa
• John F Insinga
• Integrated Hospital Medicine
• Ivy League Anesthesia LLC

• Family Medicine Physician in Dover, NJ
• Providers in Dover, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.