Nicole Lee Zacour, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00366000 Issued in NJ

Practice address

4247 Route 9 N
Freehold Office Plaza BLDG #1
Freehold, NJ 07728-8307

Phone

(732) 780-7650

Fax

(732) 780-8817

NPI assigned

Dec 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.zacour.p1@direct.aoa.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Arthritis and Osteoporosis Associates

  • Rheumatology Physician
  • Manalapan, NJ
  • NPI 1952356446
  Medicare reassignment NPD

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1790089100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 ROUTE 9 N",
            "address_2": "FREEHOLD OFFICE PLAZA BLDG #1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288307",
            "telephone_number": "732-780-7650",
            "fax_number": "732-780-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 ROUTE 9 N",
            "address_2": "FREEHOLD OFFICE PLAZA BLDG #1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288307",
            "telephone_number": "732-780-7650",
            "fax_number": "732-780-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACOUR",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN574736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00366000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Young, DO
• Alexander Yousko
• Caroline Youssef, MD
• Youth Consultation Service, Inc
• Samuel Zachary, DO
• Syed Sajjad A Zaidi, M.D.
• Zakreski & Zakreski, LLC
• Nikolette Patrice Zamarra, PA-C
• ZB Solutions LLC
• Marta R. Zeb, MD,FAAP

• Family Nurse Practitioner in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.