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

Louis J Ciccolello Sr.

Individual provider Peer Specialist · NPI 1396536645

Louis J Ciccolello Sr. is a Peer Specialist in Atlantic City, New Jersey. Works from 3 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone: (609) 345-4000
Show map & directions

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

Additional practice locations (2)

  • 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 — (609) 652-1000
  • 2500 English Creek Ave, Egg Harbor Twp, NJ 08234 — (609) 833-9933

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 50683 (NJ)

Record details

NPI number1396536645
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 14, 2025

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