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

Mr. Michael D'Ercole Jr.

Individual provider Physician Assistant · NPI 1871444307

Mr. Michael D'Ercole Jr. is a Physician Assistant in Closter, New Jersey. Qualified in 2025, 1 year ago. Practices with Nyack Emergency Medical Association PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
1
Licensed in
NJ, NY
In the registry since
2026
Specialties on file
2

Practice location Address checks out

140 Herbert Ave # 2
Closter, NJ 07624-1300
Phone: (201) 540-6315
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034846-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00975100 (NJ)

Record details

NPI number1871444307
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2026
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Nyack Emergency Medical Association Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount