HICKORY TEXAS, P.A.
NPI 1255220810
Clinic/Center - Multi-Specialty in Lakewood, NJ
About Hickory Texas, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HICKORY TEXAS, P.A. (NPI 1255220810) is a healthcare organization registered as a multi-specialty in Lakewood, New Jersey and active in the NPI registry since June 2025. The organization lists Daniel Olivero, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hickory Texas, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hickory Texas, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hickory Texas, P.A.'s NPI number?
The NPI number for Hickory Texas, P.A. is 1255220810. It was assigned to this organization in the NPPES registry on June 30, 2025.
Where is Hickory Texas, P.A. located?
Hickory Texas, P.A. is located at 15 America Ave Unit 103, Lakewood, NJ 08701. The listed phone number is (732) 631-4358.
What is Hickory Texas, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Hickory Texas, P.A. enrolled in Medicare?
Yes. Hickory Texas, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hickory Texas, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Hickory Texas, P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hickory Texas, P.A. was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Hickory Texas, P.a. · NPI 1255220810
Multi-Specialty organization in Lakewood, New Jersey. Organization record, active in the CMS NPPES registry since June 30, 2025.
## Identity
- **NPI:** 1255220810 (Entity type: Organization)
- **Enumerated:** June 30, 2025
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Daniel Olivero, OWNER
## Practice location
- **Address:** 15 AMERICA AVE UNIT 103, Lakewood, NJ 08701-4583
- **Phone:** (732) 631-4358
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255220810) · Data from the CMS NPPES public registry.