Individual provider Active NPI

Nicole Nagle, DPT

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1912348723
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01450900 Issued in NJ
Practice address
562 Easton Ave
Somerset, NJ 08873-1900
Phone
(732) 565-5455
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01450900 NJ Primary

Addresses

Primary practice location

562 Easton Ave
Somerset, NJ 08873-1900

Mailing address

100 Paterson Plank Rd Apt 311
Jersey City, NJ 07307-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228000407 NJ Practitioner - Physical Therapist in Private Practice 7517228927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amp Physical Therapy, LLCGroup PAC ID 5698023216, 4 clinicians

Practice addresses (Care Compare)

242 Old New Brunswick Rd
Suite 300
Piscataway, NJ 08854-3754
Phone (732) 629-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amp Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

70 Hudson St
Ste 2A
Hoboken, NJ 07030
Phone (201) 533-8111

242 Old New Brunswick Rd
Ste 300
Piscataway, NJ 08854
Phone (732) 629-7770

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

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.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1912348723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PATERSON PLANK RD APT 311",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731900",
            "telephone_number": "732-565-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01450900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.