Paul George Nicholas III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB40789 Issued in NJ

Practice address

24 East Ave
Woodstown, NJ 08098-1409

Phone

(856) 769-0900

Fax

(856) 769-2639

NPI assigned

Jul 24, 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

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

Specialty

Internal MedicineAlso: Family Practice

Education

College of Physicians and Surgeons (Iowa), 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Paul G. Nicholas III, D.O., P.a.

  • Family Medicine Physician
  • Woodstown, NJ
  • NPI 1346462983

  Family Medicine, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609898022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 304",
            "address_2": "24 EAST AVE",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "08098",
            "telephone_number": "856-769-0900",
            "fax_number": "856-769-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 EAST AVE",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981409",
            "telephone_number": "856-769-0900",
            "fax_number": "856-769-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "PAUL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB40789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolie Hamilton Shimp Master, D.P.M.
• Brionna Masterson, RN, MSN
• Dylan James McDivitt, DO
• Rebecca L. Melniczuk, D.P.T.
• Emily Ann Morrison, LAC
• Pafacom, Inc.
• Brian J Pahlow, D.O.
• Kristina M. Parkin, FNP
• Paul G. Nicholas III, D.O., P.a.
• Gianna Paul

• All providers in Woodstown, NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.