Nisivoccia, Jacqueline Mary

Nisivoccia, Jacqueline Mary is an individual health care provider with primary practice located at 66 Sunset Strip Suite 306, Succasunna NJ 07876-1345. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Nisivoccia, Jacqueline Mary can be contacted via phone (973) 584-4600.

Contact Information

Primary practice address
66 Sunset Strip Suite 306 Succasunna NJ 07876-1345
Phone: (973) 584-4600
Fax: (973) 584-9359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00272700 New Jersey

Profile Details

NPI number 1356372429
LBN Legal business name Nisivoccia, Jacqueline Mary
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Nov 15th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356372429 NPPES
New Jersey MEDICAID 0024911

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