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

Michael John Nicholson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609418797

Michael John Nicholson, DO is a Pulmonary Disease in Bayonne, New Jersey. Qualified in 2019, 7 years ago. Practices with Robert Wood Johnson Physician Enterprise, a 71-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

29 E 29th St
Bayonne, NJ 07002-4654
Phone: (201) 858-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 25MB12540100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609418797
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address527 Old Bridge Tpke Unit 3231, East Brunswick, NJ 08816-1938

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Robert Wood Johnson Physician Enterprise — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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