Nicole Serra Tully, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA008338800 Issued in NJ

Practice address

79 Hudson St Ste 700
Hoboken, NJ 07030-5642

Phone

(201) 241-2626

Fax

(833) 973-3533

NPI assigned

Feb 7, 2008

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 8, 2024 through Aug 8, 2026

Merit-based Incentive Payment System (MIPS)

Final score

96.09 of 100Reported as apm

Quality

86.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: nicole.tully.1@31763.direct.athenahealth.com
• Direct secure messaging: ntully236626@direct.englewoodhealth.org

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1437337813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST STE 700",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305642",
            "telephone_number": "201-241-2626",
            "fax_number": "833-973-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST STE 700",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305642",
            "telephone_number": "201-241-2626",
            "fax_number": "833-973-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "NICOLE",
        "middle_name": "SERRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA008338800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil William Tropiano, BS,DC
• True Therapeutics LLC
• Lauryn Jill Tuchman, L.C.S.W.
• Jade Tuchschmidt
• Samantha Nicole Tulipani, LSW
• Jeffrey Alexander Tuzzo, DC
• Gabrielle Iralia Tynes-Labonte, LPC
• Kelly Tyrrell
• United Cerebral Palsy of Hudson County
• United Cerebral Palsy of Hudson County

• Family Medicine Physician in Hoboken, NJ
• Providers in Hoboken, 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 Mar 14, 2025; 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; Opt Out Affidavits.
• 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.