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

Mr. Lawrence William Nisivoccia III

Individual provider Specialist · NPI 1710049077

Mr. Lawrence William Nisivoccia III is a Specialist in Washington, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006

Practice location Address checks out

14 Lyn Gale Ct
Washington, NJ 07882-4111
Phone: (908) 835-8656
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 40QA00727500 (NJ)

Record details

NPI number1710049077
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 14, 2006
Last updated in NPPESJanuary 7, 2009

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