Lawrence William Nisivoccia III

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA00727500 Issued in NJ

Practice address

14 Lyn Gale CT
Washington, NJ 07882-4111

Phone

(908) 835-8656

NPI assigned

Dec 14, 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, PA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD
• Bucks Physical & Sports Rehabilitation LLC

  • Physical Therapist
  • Richboro, PA
  • NPI 1932179215
  Medicare reassignment NPD
• Reactive Sports Performance LLC

  • Specialist
  • Chester, NJ
  • NPI 1386896058
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1710049077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LYN GALE CT",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824111",
            "telephone_number": "908-835-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LYN GALE CT",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824111",
            "telephone_number": "908-835-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIVOCCIA",
        "first_name": "LAWRENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00727500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Lapas Narido, DNP, AGNP-C
• New Jersey CVS Pharmacy LLC
• Meredith Elizabeth Nichols, M.ED, LBS
• Nicole Sypniewski
• April Nieves Stanbury, LIC. AC., MAOM
• No Limit Health Care & Social Services LLC
• No Limit Health Care & Social Services LLC
• Sarah Nortey
• Cinthya Oliveira
• Richard Orlemann, MPA

• Specialist in Washington, NJ
• Providers in Washington, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.