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MR. LAWRENCE WILLIAM NISIVOCCIA III
NPI 1710049077
Specialist in Washington, NJ

Active since December 14, 2006
14 LYN GALE CT, WASHINGTON, NJ 07882(908) 835-8656 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Lawrence William Nisivoccia Iii NPPES

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

MR. LAWRENCE WILLIAM NISIVOCCIA III (NPI 1710049077) is an individual specialist in Washington, New Jersey, licensed in New Jersey (40QA00727500) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1710049077
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. LAWRENCE WILLIAM NISIVOCCIA III
Location Address14 LYN GALE CTWashington, NJ 07882-4111
Mailing Address14 Lyn Gale CtWashington, NJ 07882-4111 · (908) 835-8656
Phone(908) 835-8656
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 7, 2009
✔ NPI 1710049077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 40QA00727500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14 LYN GALE CT, Washington, NJ 07882
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lawrence William Nisivoccia Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Lawrence Nisivoccia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bucks Physical & Sports Rehabilitation LLC
38 mi
Physical Therapist
100 ALMSHOUSE RD
Richboro, PA 18954
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
NPI 1932179215 (215) 357-2000
Jag-One Physical Therapy, LLC
39 mi
Physical Therapist
622 EAGLE ROCK AVE
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 472 clinicians in this Medicare group
NPI 1518017144 (973) 669-0078

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 Lawrence Nisivoccia's NPI number?

The NPI number for Lawrence Nisivoccia is 1710049077. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Lawrence Nisivoccia located?

Lawrence Nisivoccia practices at 14 Lyn Gale Ct, Washington, NJ 07882. The listed phone number is (908) 835-8656.

What is Lawrence Nisivoccia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lawrence Nisivoccia enrolled in Medicare?

Yes. Lawrence Nisivoccia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lawrence Nisivoccia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Nisivoccia reassigns Medicare benefits to 2 organizations: Bucks Physical & Sports Rehabilitation LLC (Richboro, PA) and Jag-One Physical Therapy, LLC (West Orange, NJ). Each 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 Lawrence Nisivoccia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lawrence Nisivoccia was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.