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

Nicole Lupo, PA-C

Individual provider Surgery Physician · NPI 1639699713

Nicole Lupo, PA-C is a Physician Assistant in Oakhurst, New Jersey. Qualified in 2017, 9 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
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

255 Monmouth Rd
Oakhurst, NJ 07755-1515
Phone: (732) 531-5445
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MP00434000 (NJ)

Record details

NPI number1639699713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESJune 21, 2017
Mailing address10 Crimson Ln, Freehold, NJ 07728-9013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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