Individual provider Active NPI

Annamaria Nucci, M.D.

  • Psychosomatic Medicine Physician
  • Cedar Grove, NJ
National Provider Identifier
1518185198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
MA034870 Issued in NJ
Practice address
5 Westview CT
Cedar Grove, NJ 07009-1937
Phone
(973) 857-2640
NPI assigned
Apr 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X MA034870 NJ Primary

Addresses

Primary practice location

5 Westview CT
Cedar Grove, NJ 07009-1937

Mailing address

5 Westview CT
Cedar Grove, NJ 07009-1937
Phone (973) 857-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000218 NJ Practitioner - Psychiatry 5799819256 Practice locations: Cedar Grove, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Westview Court
Cedar Grove, NJ 07009-1937
Phone (973) 857-2640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA034870NJMDPsychosomatic Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518185198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WESTVIEW CT",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091937",
            "telephone_number": "973-857-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WESTVIEW CT",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091937",
            "telephone_number": "973-857-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCCI",
        "first_name": "ANNAMARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NJ",
            "license": "MA034870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.