Individual provider Active NPI

Janet E Nikolic, PA-C

  • Medical Physician Assistant
  • Carteret, NJ
National Provider Identifier
1689825994
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00140700 Issued in NJ
Practice address
606 Roosevelt Ave
Carteret, NJ 07008-2935
Phone
(732) 541-6521
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00140700 NJ Primary

Addresses

Primary practice location

606 Roosevelt Ave
Carteret, NJ 07008-2935

Mailing address

PO Box 428
Carteret, NJ 07008-0428
Phone (732) 541-6521

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
I20110321000502 NJ Practitioner - Physician Assistant 3779766340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carteret Medical Enterprise IncGroup PAC ID 9234026444, 5 clinicians

Practice addresses (Care Compare)

125 Washington Ave
Carteret, NJ 07008-2946
Phone (732) 541-6521

188 Market St
Perth Amboy, NJ 08861-4328
Phone (732) 442-4251

606 Roosevelt Ave
Carteret, NJ 07008-9998

PO Box
Suite 428
Carteret, NJ 07008

PO Box
Suite 428
Carteret, NJ 07008-0428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00140700NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1689825994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070080428",
            "telephone_number": "732-541-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ROOSEVELT AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082935",
            "telephone_number": "732-541-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLIC",
        "first_name": "JANET",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00140700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

Verify at the official NPI Registry.