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

Individual provider Internal Medicine Physician · NPI 1720110547

Nelson R Pichardo, MD is an Internal Medicine in Passaic, New Jersey. Qualified in 1982, 44 years ago. Practices as a sole proprietor. Licensed in New Jersey and New York.

Years since qualifying
44
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Passaic Ave Ste 1
Passaic, NJ 07055-4860
Phone: (973) 928-2167
Fax: (973) 928-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA03887500 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2137731 (NY)

Record details

NPI number1720110547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESFebruary 22, 2010

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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