Nicole A Lupo (NPI# 1639699713, PAC ID# 0648544494) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639699713 |
| PAC ID by PECOS | 0648544494 |
| Professional Enrollment ID | I20170919000088 |
| Full Name | Nicole A Lupo |
| Organization Legal Name | ATLANTIC SURGICAL GROUP PA |
| Address |
255 Monmouth Rd Oakhurst NJ 07755-1515 |
| Phone Number | 7325315445 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002821329 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310073 | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| 310052 | OCEAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 459 Jack Martin Blvd, Brick, NJ 08724-7724 | 7328361500 | ATLANTIC SURGICAL GROUP PA |
| 255 Monmouth Rd, Oakhurst, NJ 07755-1515 | 7325315445 | ATLANTIC SURGICAL GROUP PA |
| Organization Legal Name | ATLANTIC SURGICAL GROUP PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Lake Iii | Colorectal Surgery (proctology) | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Elsa Marisol Pichardo | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Glenn S Parker | Colorectal Surgery (proctology) | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Mark Robert Schwartz | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Aron L Gornish | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Nicholas J Houlis | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Denise Ann Handy-burnham | Nurse Practitioner | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Street Address |
255 MONMOUTH RD |
| City | OAKHURST |
| State | NJ |
| Zip | 07755-1515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Lake Iii | Colorectal Surgery (proctology) | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Elsa Marisol Pichardo | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Glenn S Parker | Colorectal Surgery (proctology) | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Michael R Santamaria | Physical Therapy | Shore Wellness Center, Inc. | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Angela Colletti | Physical Therapy | Shore Wellness Center, Inc. | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Mark Robert Schwartz | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Aron L Gornish | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Nicholas J Houlis | General Surgery | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Denise Ann Handy-burnham | Nurse Practitioner | Atlantic Surgical Group Pa | 255 Monmouth Rd, Oakhurst, NJ 07755-1515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles L Abady | Optometry | Abady, Steiner and Ravine Eye Care O D P C | 780 W Park Ave, Oakhurst, NJ 07755-1028 |
| Leonard M Steiner | Optometry | Abady, Steiner and Ravine Eye Care O D P C | 780 W Park Ave, Oakhurst, NJ 07755-1028 |
| Marsha Ellias Frankel | Clinical Social Worker | 257 A Monmouth Rd, Oakhurst, NJ 07755-1500 | |
| Janet L Mahan | Internal Medicine | 1806 Hwy 35, Suite 102 First Floor, Oakhurst, NJ 07755-1500 | |
| Sharon R Kamm | Psychologist, Clinical | 257 Monmouth Rd, 5a, Oakhurst, NJ 07755-1501 | |
| Prinze C Mack | Ophthalmology | 257 Monmouth Rd, Suite 1b, Oakhurst, NJ 07755-1501 | |
| Jane E Neuman | Internal Medicine | 257 Monmouth Rd, Suite 2, Oakhurst, NJ 07755-1501 | |
| David H Moskowitz | Obstetrics/gynecology | Meridian Medical Group-specialty Care PC | 250 Monmouth Rd, Oakhurst, NJ 07755-1503 |
| Thomas R Rich | Podiatry | 215 Monmouth Rd, Oakhurst, NJ 07755-1540 | |
| Jennifer A Schaal-sampson | Qualified Audiologist | 220 Monmouth Rd, Suite 2, Oakhurst, NJ 07755-1561 | |
| Find all physicians in zip 07755 | |||
| City | OAKHURST |
| Zip Code | 07755 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OAKHURST + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole A Lupo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.