Provider Demographics
NPI:1033368212
Name:PARTENOPE, NICHOLAS A (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:A
Last Name:PARTENOPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:157 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2925
Mailing Address - Country:US
Mailing Address - Phone:732-388-9228
Mailing Address - Fax:732-388-9709
Practice Address - Street 1:98 JAMES ST
Practice Address - Street 2:SUITE 308, MEDIPLEX BUILDING
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3902
Practice Address - Country:US
Practice Address - Phone:732-388-9709
Practice Address - Fax:732-388-9709
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03855200133N00000X, 207RB0002X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine