NICOLE CEBULKO
NPI 1568308054
Nurse Practitioner - Family in Lakewood, NJ

Q: What is Nicole Cebulko's NPI number?

The NPI number for Nicole Cebulko is 1568308054. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Q: What is Nicole Cebulko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Cebulko was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2026PECOS Enrolled

456 CHESTNUT ST STE 102, LAKEWOOD, NJ 08701(732) 282-7200(732) 282-7300 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Cebulko NPPES

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

NICOLE CEBULKO (NPI 1568308054) is an individual family provider in Lakewood, New Jersey, licensed in New Jersey (26NJ15481300) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568308054

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE CEBULKO

Location Address456 CHESTNUT ST STE 102Lakewood, NJ 08701-6124

Mailing Address1200 Eatontown BlvdOceanport, NJ 07757-1034 · (908) 692-2570

Phone(732) 282-7200

Fax(732) 282-7300

Sole ProprietorNo

Enumeration DateApril 27, 2026

NPPES CertifiedApril 27, 2026

✔ NPI 1568308054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ15481300

456 CHESTNUT ST STE 102, Lakewood, NJ 08701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Cebulko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 5

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

NAOMI NOVICE

Nurse Practitioner (Family)