NICHOLAS DECARLO
Student in an Organized Health Care Education/Training Program

Address: 4190 City Ave Ste 207, Philadelphia, PA 19131-1627

NICHOLAS DECARLO (NPI# 1306430079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306430079
Entity Type Individual
Full Name MR. NICHOLAS DECARLO
Gender Male
Credential PA-S
Practice Address 4190 City Ave Ste 207
Philadelphia
PA 19131-1627
Practice Telephone 2158716702
Mailing Address 4190 City Ave Ste 207
Philadelphia
PA 19131-1627
Mailing Telephone 2158716702
Certification Date 2021-02-23
Enumeration Date 2021-02-23
Last Update Date 2021-02-23
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4190 CITY AVE STE 207
City PHILADELPHIA
State PA
Zip Code 19131-1627

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225636616 Kyra Varano Student in an Organized Health Care Education/Training Program 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 2020-10-16
1790324044 Ezinne Nonso Ifi Student in an Organized Health Care Education/Training Program 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 2020-01-04
1356766794 Ludmila Klichinsky Physician Assistant · Medical 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 2014-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235690785 Sean Singh Student in an Organized Health Care Education/Training Program 4190 City Ave Ofc, Philadelphia, PA 19131-1627 2019-03-27
1487758256 Bio-Medical Applications of Pennsylvania, Inc. · Bma Northwest Philadelphia Clinic/Center · End-Stage Renal Disease (ESRD) Treatment 4190 City Ave Ste 124, Philadelphia, PA 19131-1627 2006-09-12

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center · Rehabilitation 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1033735071 Provision Point LLC Durable Medical Equipment & Medical Supplies · Dialysis Equipment & Supplies 2560 Belmont Ave, Philadelphia, PA 19131 2020-06-24
1033748264 Mona Anne Dasgupta Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA 19131 2020-04-08
1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist · General Practice 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist · Gerontology 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1114417060 Christopher Maroon Dentist · General Practice 1575 N 52nd St Ste 705, Philadelphia, PA 19131 2018-05-16
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1578092235 Sarah Marie Hoder Specialist/Technologist · Athletic Trainer 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
Find all providers in zip 19131

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710567003 Sage Anna Vincent 1025 Walnut St Ste 1100, Philadelphia, PA 19107-5001 2021-04-11
1417537713 Nabil Darwich 2204 Kimball St, Philadelphia, PA 19146-2524 2021-04-11
1134708852 Ashley Elizabeth Traczuk 1025 Walnut St Ste 805, Philadelphia, PA 19107-5001 2021-04-08
1003495805 Celeste Elizabeth Chitters 833 Chestnut St Fl, Philadelphia, PA 19107-4414 2021-04-07
1013596063 Erin Nicole Hoag 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 2021-04-06
1295314581 Sarah Frank 596 Acorn St, Philadelphia, PA 19128-2504 2021-04-05
1649859919 Shyle Mehta 1835 Arch St Apt 910, Philadelphia, PA 19103-2779 2021-04-05
1073191656 Cindy Duong 2510 Coral St, Philadelphia, PA 19125-1312 2021-04-01
1811575871 Jessica Kraus-Lavy 114 Richmond St Apt 1, Philadelphia, PA 19125-4182 2021-03-31
1174101497 Ian Wilson Dale 328 Hermit St Fl 1, Philadelphia, PA 19128-5128 2021-03-30
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19131

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Dataset Information

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.

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