Michael D'Ercole Jr.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

034846-01 Issued in NY

Practice address

140 Herbert Ave # 2
Closter, NJ 07624-1300

Phone

(201) 540-6315

NPI assigned

Feb 9, 2026

Last updated

Feb 9, 2026By the provider in NPPES

Sex

Male

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 NY

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nyack Emergency Medical Association PLLCGroup PAC ID 2062411036, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nyack Emergency Medical Association PLLC

  dba Nyack Emergency Medical Associates

  • Emergency Medicine Physician
  • Nyack, NY
  • NPI 1174627293
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1871444307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HERTBERT AVE #2",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "07624",
            "telephone_number": "201-540-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HERBERT AVE # 2",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241300",
            "telephone_number": "201-540-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ERCOLE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00975100",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034846-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Cohen
• Vanessa Coppola, APN
• Cor Group
• Cor Support LLC
• Alfa Rose Y Coronado, PT
• Debbie Kim
• Carlee Defrancesco, DO
• James Digregorio, PT, DPT
• Nicole Suzanne Donato, M.S., B.C.B.A.
• Douglas Kim DMD PC (Smile Story Orthodontics)

• Physician Assistant in Closter, NJ
• Providers in Closter, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.