Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mario Mico, MD

Individual provider Pediatrics Physician · NPI 1730221714

Dr. Mario Mico, MD is a Pediatrics Physician in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

913 Main Ave
Passaic, NJ 07055-8540
Phone: (973) 458-8000
Fax: (973) 458-8425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA08315100 (NJ)

Record details

NPI number1730221714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESFebruary 5, 2008
Mailing address913 Main Avenue, Passaic, NJ 07055

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