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

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1487754131

Dr. Nicholas Joseph Bevilacqua, DPM is a Podiatry in Teaneck, New Jersey. Graduated from New York College of Podiatric Medicine in 2003, 23 years ago. Practices with Holy Name Primary Care and Specialty Associates PC, a 43-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
23
Trained at
New York College of Podiatric Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

730 Palisade Ave
Teaneck, NJ 07666-3144
Phone: (201) 353-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00304300 (NJ)

Record details

NPI number1487754131
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 23, 2006
Last updated in NPPESOctober 28, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2003 (23 years in practice)
Group practice Holy Name Primary Care And Specialty Associates Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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