Jeffrey Joseph Niccoli, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3781 Issued in CA

Practice address

2225 Central Ave
Alameda, CA 94501

Phone

(510) 521-3410

Fax

(510) 521-2521

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1497716971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 CENTRAL AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-521-3410",
            "fax_number": "510-521-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 CENTRAL AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-521-3410",
            "fax_number": "510-521-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICCOLI",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000E37810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thy Nguyen
• Timmy M Nguyen, PHARMD
• Viet Thien Nguyen, PHARM D
• Vivian Nguyen
• Mariam Niaz
• Tracie Nichols, LAC
• Chase William Callister Nicholson
• Marie Nicolopulos, OTR/L
• Craig A. Nielsen, MD
• Jennifer Nieters, L.AC.

• Podiatrist in Alameda, CA
• Providers in Alameda, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.