Individual provider Active NPI

Nicole Therese Saffioti, FNP-C

  • Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1689494171
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15081000 Issued in NJ
Practice address
802 W Park Ave Ste 213
Ocean, NJ 07712-8526
Phone
(732) 631-8976
NPI assigned
Oct 10, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15081000 NJ Primary

Addresses

Primary practice location

802 W Park Ave Ste 213
Ocean, NJ 07712-8526

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other names 1

  • Ms. Nicole Therese Scalera Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111002113 NJ Practitioner - Nurse Practitioner 3577097757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of NJ PCGroup PAC ID 3274855499, 6 clinicians

Practice addresses (Care Compare)

802 W Park Ave
Suite 213
Ocean, NJ 07712-8526
Phone (732) 695-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of NJ, PC CurrentSince Dec 16, 2024 Accepting new patients
Atlantic Allergy, Asthma & Immunology Associates of NJ LLC PastSince Oct 13, 2024 Accepting new patients

Locations

8 Tindall Rd
Middletown, NJ 07748
Phone (732) 671-7676

802 W Park Ave
Ste 213
Ocean, NJ 07712
Phone (732) 695-2555

553 Cedar Ln
Ste A
Teaneck, NJ 07666
Phone (201) 836-6400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1689494171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W PARK AVE STE 213",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077128526",
            "telephone_number": "732-631-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFIOTI",
        "first_name": "NICOLE",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15081000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCALERA",
            "middle_name": "THERESE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.