Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS NICOLE TESSA WIZEL PA-C
NPI 1497122170
Physician Assistant - Medical in Montvale, NJ

Active since August 28, 2015PECOS Enrolled
225 SUMMIT AVE, MONTVALE, NJ 07645(201) 472-5431 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Nicole Tessa Wizel Pa-c NPPES

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

MISS NICOLE TESSA WIZEL PA-C (NPI 1497122170) is an individual medical provider in Montvale, New Jersey and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Mercy College (2015).

NPPES Registry Identity

NPI1497122170
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS NICOLE TESSA WIZELCredential: PA-C
Location Address225 SUMMIT AVEMontvale, NJ 07645-1523
Mailing Address225 Summit AveMontvale, NJ 07645-1523 · (201) 472-5431
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2015
Enumeration DateAugust 28, 2015
Last NPPES UpdateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1497122170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
225 SUMMIT AVE, Montvale, NJ 07645

Other Names 1

Other Name (5)Nicole Tessa Fotopoulos Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Nicole Tessa Wizel Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507159118
PECOS Enrollment IDI20260514002998
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

Radiology (Radiation Oncology)
225 SUMMIT AVE
MONTVALE, NJ 07645
Internal Medicine (Hematology & Oncology)
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner (Family)
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner (Family)
225 SUMMIT AVE
MONTVALE, NJ 07645
Physical Therapist
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner (Family)
225 SUMMIT AVE
MONTVALE, NJ 07645
Pharmacist
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner
225 SUMMIT AVE
MONTVALE, NJ 07645

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 Nicole Wizel's NPI number?

The NPI number for Nicole Wizel is 1497122170. It was assigned to this individual provider in the NPPES registry on August 28, 2015. The provider is also known as Nicole Tessa Fotopoulos Pa-C.

Where is Nicole Wizel located?

Nicole Wizel practices at 225 Summit Ave, Montvale, NJ 07645. The listed phone number is (201) 472-5431.

What is Nicole Wizel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Wizel enrolled in Medicare?

Yes. Nicole Wizel is registered in the Medicare PECOS enrollment system.

Is Nicole Wizel affiliated with any hospitals?

According to CMS data, Nicole Wizel is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Wizel was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.