Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Lynn Picciolo, PA-C

Individual provider Physician Assistant · NPI 1265687164

Mrs. Nicole Lynn Picciolo, PA-C is a Physician Assistant in Trenton, New Jersey. Qualified in 2008, 18 years ago. Practices with University Radiology Group LLC, a 241-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
18
Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

750 Brunswick Ave Chs At Fuld - Cvir
Trenton, NJ 08638-4143
Phone: (609) 394-7532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00210600 (NJ)

Record details

NPI number1265687164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2008
Last updated in NPPESSeptember 12, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice University Radiology Group Llc — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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