Provider Demographics
NPI:1073891404
Name:PIROZZI, NICOLE ERICA (PA-C)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ERICA
Last Name:PIROZZI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:ERICA
Other - Last Name:MIGLIORINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:9 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2426
Mailing Address - Country:US
Mailing Address - Phone:732-431-1520
Mailing Address - Fax:
Practice Address - Street 1:9 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2426
Practice Address - Country:US
Practice Address - Phone:732-431-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014929363AM0700X
NJ25MP00264800363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical