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

Nicholas Martin Pascullo, LPN

Individual provider Licensed Practical Nurse · NPI 1629590617

Nicholas Martin Pascullo, LPN is a Licensed Practical Nurse in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

153 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3157
Phone: (631) 471-5666
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 314796-1 (NY)

Record details

NPI number1629590617
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 11, 2017

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