Julie A Nicoletta, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME156048 Issued in FL

Practice address

4510 Pga Blvd Ste 101
Palm Beach Gardens, FL 33418-3968

Phone

(561) 627-7930

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)
• University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1912928599
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1801821996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13256 MACHIAVELLI WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186196",
            "telephone_number": "781-489-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PGA BLVD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183968",
            "telephone_number": "561-627-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTA",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "212653",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME156048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danisha A Nicholson
• Kimberly Nicholson
• Lasira L Nicholson
• Marnie Nickels, ARNP
• Nicklaus Children'S Hospital Palm Beach Gardens Outpatient Center
• Alexandria Marie Niewiadomski, M.D
• Andrew R Noble, M.D.
• Paije Nobles, MS, RDN
• Michael J Nodland, O.D.
• Marielucie Noel

• Pediatrics Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.