NICOS NICOLAOU (NPI# 1619998085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619998085 |
| Entity Type | Individual |
| Full Name | NICOS NICOLAOU |
| Credential | M.D. |
| Practice Address |
1 Presidential Blvd Suite 100 Bala Cynwyd PA 19004-1017 |
| Practice Telephone | 6106324100 |
| Practice Fax Number | 6106681004 |
| Mailing Telephone | 6106324100 |
| Mailing Fax Number | 6106681004 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD053676L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016207530002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083989859 | Nicos Nicolaou | Pathology | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524 | 2012-03-13 |
| Street Address |
1 PRESIDENTIAL BLVD SUITE 100 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679938 | Laurence H Belkoff | Urology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2005-06-14 |
| 1306385364 | Barbara Trunk | Dietitian, Registered | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2017-02-22 |
| 1548630502 | Kimberly Mugler | Dietitian, Registered | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2015-10-03 |
| 1497158653 | Katina Nguyen | Dentist | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2014-10-02 |
| 1477955375 | Urologic Consultants of Southeastern Pennsylvania LLP | Pathology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2014-09-23 |
| 1134551146 | Arthur Fogelson | Dietitian, Registered | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2013-07-31 |
| 1215374806 | Your Wellness Consultants LLC | Dietitian, Registered | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2013-05-23 |
| 1588923643 | John Rickards | Clinic/Center | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2012-05-10 |
| 1609161207 | Urologic Consultants of Southeastern Pennsylvania, LLP | Radiology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2011-06-13 |
| 1568681278 | Robert Tanenbaum | Psychologist | 1 Presidential Blvd, Suite 204, Bala Cynwyd, PA 19004-1017 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609161207 | Urologic Consultants of Southeastern Pennsylvania, LLP | Radiology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2011-06-13 |
| 1033287248 | Urologic Consultants of Southeastern Pennsylvania LLP | Radiology | 1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
| 1790027662 | George Edward Mccarthy Jr. | Radiology | 419 Riverview Rd, Swarthmore, PA 19081-1222 | 2013-03-19 |
| 1891033619 | Melvin Fisher Strockbine | Radiology | 805 Michigan Ave, Lemoyne, PA 17043-1207 | 2013-01-29 |
| 1558611947 | East Coast Radiation Oncology PC | Radiology | 1701 E Broad St, Hazleton, PA 18201-5621 | 2012-09-13 |
| 1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
| 1053684449 | Donald E. Red | Radiology | 741 Hillview Rd, Malvern, PA 19355-3430 | 2012-02-15 |
| 1972875763 | Gregory Christopher Treharne | Radiology | 100 One Norwegian Plaza, Pottsville, PA 17901-6029 | 2012-02-08 |
| 1215209382 | Melvyn Paul Richter | Radiology | 335 Waring Rd, Elkins Park, PA 19027 | 2012-02-03 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
Please comment or provide details below to improve the information on NICOS NICOLAOU.
| 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.