Nicholas Nelson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

22HI01149200 Issued in NJ

Practice address

707 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714

Phone

(856) 309-2244

NPI assigned

Apr 10, 2022

Last updated

Apr 10, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1659013746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 APPLE LN",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080662026",
            "telephone_number": "856-776-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HADDONFIELD BERLIN RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433714",
            "telephone_number": "856-309-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICHOLAS",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "22HI01149200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Nasta
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• Karli Ann Negrin, MPT
• Glenn Joseph Nelson Jr., MA, LAC, NCC
• Nephrology and Hypertension
• Grace Noor Nesheiwat, DO
• Lauren Marie Nestel, LPC
• Tetyana Nesteruk, M.D.
• Network Physicians of New Jersey PC

• Dental Hygienist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Dental Hygienist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.