NICCOLLAI MEDICAL PRACTICE
NPI 1639259138
Clinic/Center - Primary Care in Little Falls, NJ
About Niccollai Medical Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICCOLLAI MEDICAL PRACTICE (NPI 1639259138) is a healthcare organization registered as a primary care in Little Falls, New Jersey and active in the NPI registry since October 2006. The organization lists Munzer Arnouk, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Niccollai Medical Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Niccollai Medical Practice, 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 Niccollai Medical Practice's NPI number?
The NPI number for Niccollai Medical Practice is 1639259138. It was assigned to this organization in the NPPES registry on October 17, 2006.
Where is Niccollai Medical Practice located?
Niccollai Medical Practice is located at 219 Paterson Ave, Little Falls, NJ 07424. The listed phone number is (973) 890-0855.
What is Niccollai Medical Practice's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Niccollai Medical Practice enrolled in Medicare?
Yes. Niccollai Medical Practice is registered in the Medicare PECOS enrollment system.
When is Niccollai Medical Practice's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Niccollai Medical Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Niccollai Medical Practice. 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 Niccollai Medical Practice was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Niccollai Medical Practice · NPI 1639259138
Primary Care organization in Little Falls, New Jersey. Organization record, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1639259138 (Entity type: Organization)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Munzer Arnouk, DOCTOR
## Practice location
- **Address:** 219 PATERSON AVE, Little Falls, NJ 07424-1657
- **Phone:** (973) 890-0855 · **Fax:** (973) 890-0025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 528001
---
Source: [NPI Profile](https://npiprofile.com/npi/1639259138) · Data from the CMS NPPES public registry.