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LOUIS J CICCOLELLO SR.
NPI 1396536645
Peer Specialist in Atlantic City, NJ

Active since May 15, 2025
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 345-4000 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Louis J Ciccolello Sr. NPPES

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

LOUIS J CICCOLELLO SR. (NPI 1396536645) is an individual peer specialist in Atlantic City, New Jersey, licensed in New Jersey (50683) and active in the NPI registry since May 2025. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396536645
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLOUIS J CICCOLELLO SR.
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address6550 Delilah Rd Ste 301Egg Harbor Twp, NJ 08234-5102 · (609) 246-8184
Phone(609) 345-4000
Sole ProprietorNo
Enumeration DateMay 15, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1396536645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NJ · 50683
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1925 PACIFIC AVE, Atlantic City, NJ 08401
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Secondary Practice Locations 2

Location 12500 English Creek Ave, Building 900, Suite 905egg harbor twp, NJ 08234 · Phone (609) 833-9933
Location 265 W Jimmie Leeds RdPomona, NJ 08240-9102 · Phone (609) 652-1000

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.

NEWAZ MOHAMMED HOSSAIN MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8146
JITEN DESAI
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 652-1000
EMAAN SALAM MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (188) 856-9100
CHERYL LYNN HEINZ
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 703-7422
MANISHA KHATIWALA MD
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
KELLY MARIE WILLMAN M.D.
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8023
MARIE FARNSWORTH
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
RAJESH I PATEL MD
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 677-9729

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 Louis Ciccolello's NPI number?

The NPI number for Louis Ciccolello is 1396536645. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Louis Ciccolello located?

Louis Ciccolello practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-4000.

What is Louis Ciccolello's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Louis Ciccolello was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.