MR. NICHOLAS REPICE LSW
NPI 1104291038
Social Worker in Elizabeth, NJ

Active since December 03, 2015PECOS EnrolledAccepts Medicare Assignment
655 WESTFIELD AVE, ELIZABETH, NJ 07208(908) 352-8375 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Nicholas Repice Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICHOLAS REPICE LSW (NPI 1104291038) is an individual social worker in Elizabeth, New Jersey, licensed in New Jersey (44SL06056400) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104291038
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. NICHOLAS REPICECredential: LSW
Location Address655 WESTFIELD AVEElizabeth, NJ 07208-1325
Mailing Address464 Lafayette AveRidgefield, NJ 07657-1414
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 3, 2015
✔ NPI 1104291038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NJ · 44SL06056400
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
655 WESTFIELD AVE, Elizabeth, NJ 07208

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas Repice Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385067701
PECOS Enrollment IDI20200701003088
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Repice reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
659 EAGLE ROCK AVE STE 4
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
Psychiatry
9225 JOHN F KENNEDY BLVD
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (School)
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Social Worker (Clinical)
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Social Worker (Clinical)
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Student in an Organized Health Care Education/Training Program
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Social Worker
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Social Worker (Clinical)
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Social Worker (Clinical)
655 WESTFIELD AVE
ELIZABETH, NJ 07208
Social Worker (Clinical)
655 WESTFIELD AVE
ELIZABETH, NJ 07208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Repice's NPI number?

The NPI number for Nicholas Repice is 1104291038. It was assigned to this individual provider in the NPPES registry on December 3, 2015.

Where is Nicholas Repice located?

Nicholas Repice practices at 655 Westfield Ave, Elizabeth, NJ 07208. The listed phone number is (908) 352-8375.

What is Nicholas Repice's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Nicholas Repice enrolled in Medicare?

Yes. Nicholas Repice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Repice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Repice reassigns Medicare benefits to 2 organizations: Keith Golin Phd LLC (West Orange, NJ) and Freeway Psychiatry PC (North Bergen, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Repice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Repice was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.