DR. NICHOLAS JOSEPH BEVILACQUA (NPI# 1487754131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487754131 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS JOSEPH BEVILACQUA |
| Credential | DPM |
| Practice Address |
730 Palisade Ave Teaneck NJ 07666-3144 |
| Practice Telephone | 2013539000 |
| Mailing Telephone | 2013539000 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2015-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00304300 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
730 PALISADE AVE |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787990 | North Jersey Orthopaedic Specialists P.a. | Clinic/Center | 730 Palisade Ave, Teaneck, NJ 07666-4000 | 2006-06-11 |
| 1578843819 | Christine M. Grivas | Nutritionist | 730 Palisade Ave, 1st Floor, Teaneck, NJ 07666-3144 | 2011-08-18 |
| 1043534456 | North Jersey Orthopaedic Specialists Mri | Clinic/Center | 730 Palisade Ave, Teaneck, NJ 07666 | 2010-03-15 |
| 1912171372 | Deepan N. Patel | Orthopaedic Surgery | 730 Palisade Ave, Teaneck, NJ 07666-3144 | 2008-04-16 |
| 1013131705 | Steve K Kwak | Orthopaedic Surgery | 730 Palisade Ave, Teaneck, NJ 07666-3144 | 2007-04-12 |
| 1578682241 | David J Penn | Physician Assistant | 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 | 2007-03-27 |
| 1578648366 | Marsha Thornhill | Specialist | 730 Palisade Ave, Teaneck, NJ 07666-3144 | 2006-10-27 |
| 1033153911 | John M Owens | Orthopaedic Surgery | 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 | 2006-06-15 |
| 1942244827 | Jen F Lee | Orthopaedic Surgery | 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 | 2006-06-15 |
| 1205879525 | Jonathan M Archer | Orthopaedic Surgery | 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047956 | Classic Podiatry | Podiatrist | 655 Pomander Walk, Teaneck, NJ 07666-1600 | 2006-12-11 |
| 1023017688 | Jonathan Howard Margolin | Podiatrist | 470 Queen Anne Rd, Teaneck, NJ 07666-3234 | 2005-07-18 |
| 1528361193 | Foot and Ankle Center of Teaneck Pa | Podiatrist | 185 Cedar Ln, U5, Teaneck, NJ 07666-4316 | 2010-12-21 |
| 1538308952 | Affiliated Foot & Ankle Spec of Teaneck | Podiatrist | 751 Teaneck Rd, 1st Floor, Teaneck, NJ 07666-0000 | 2009-02-09 |
| 1275785685 | Teaneck Podiatry,llc | Podiatrist | 470 Queen Anne Rd, Teaneck, NJ 07666-3234 | 2008-10-16 |
| 1235305251 | Robert S Marcus Dpm | Podiatrist | 185 Cedar Ln, U5, Teaneck, NJ 07666-4316 | 2008-04-30 |
| 1619173325 | Greg F Rubinstein Dpm Pa | Podiatrist | 811 Grange Rd, Teaneck, NJ 07666-4409 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.