Provider Demographics
NPI:1598979049
Name:CINCOTTA, PATRICIA NANCY (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:NANCY
Last Name:CINCOTTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE DEERFIELD DRIVE
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8114
Mailing Address - Country:US
Mailing Address - Phone:201-391-4141
Mailing Address - Fax:201-391-4141
Practice Address - Street 1:ONE DEERFIELD DRIVE
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8114
Practice Address - Country:US
Practice Address - Phone:201-391-4141
Practice Address - Fax:201-391-4141
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA273602084P0800X
KS04144162084P0800X
PAMD012311E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F00272Medicare UPIN
NJCI521832Medicare ID - Type Unspecified