NICOLLE SEGARRA PA-C
NPI 1417595638
Physician Assistant - Medical in West Orange, NJ
About Nicolle Segarra Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLLE SEGARRA PA-C (NPI 1417595638) is an individual medical provider in West Orange, New Jersey, licensed in New Jersey (25MP00633800) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicolle Segarra Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
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 Nicolle Segarra's NPI number?
The NPI number for Nicolle Segarra is 1417595638. It was assigned to this individual provider in the NPPES registry on December 18, 2019.
Where is Nicolle Segarra located?
Nicolle Segarra practices at 95 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 325-2266.
What is Nicolle Segarra's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nicolle Segarra enrolled in Medicare?
Yes. Nicolle Segarra is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicolle Segarra was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicolle Segarra, PA-C · NPI 1417595638
Medical physician in West Orange, New Jersey. Individual provider, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1417595638 (Entity type: Individual)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 25MP00633800 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 95 NORTHFIELD AVE, West Orange, NJ 07052-4731
- **Phone:** (973) 325-2266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417595638) · Data from the CMS NPPES public registry.