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

Nicole Rengifo

Individual provider Adult Health Nurse Practitioner · NPI 1104366699

Nicole Rengifo is a Nurse Practitioner in Teaneck, New Jersey. Qualified in 2016, 10 years ago. Practices with Excelcare Medical Associates PA, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone: (201) 833-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00714000 (NJ)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 26NJ00714000 (NJ)

Record details

NPI number1104366699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2017
Last updated in NPPESMarch 2, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Excelcare Medical Associates Pa — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Teaneck