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Contact Information

JACQUELINE M NISIVOCCIA, DPM
66 SUNSET STRIP
SUITE 306
SUCCASUNNA, NJ07876-1345
 Phone: 973-584-4600
 Fax: 973-584-9359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACQUELINE M NISIVOCCIA · (Female)

NPI Number 1356372429
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/06/2006
Last updated 11/15/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00272700
  • NJ Medicaid 0024911
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
  • MORRISTOWN MEMORIAL HOSPITAL - (Acute Care)
    100 MADISON AVE
    MORRISTOWN, NJ 07962
  • SAINT CLARE'S HOSPITAL - (Acute Care)
    25 POCONO ROAD
    DENVILLE, NJ 07834
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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