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

Nicole Pisano, PA-C

Individual provider Physician Assistant · NPI 1467828509

Nicole Pisano, PA-C is a Physician Assistant in Holmdel, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2015.

Licensed in
NJ, NY
In the registry since
2015
Specialties on file
3
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

719 N Beers St Ste 1E
Holmdel, NJ 07733-1523
Phone: (732) 739-4414
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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 25MP00371100 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 019307 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467828509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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