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NPI Code Detail

MEDICARE: NICOLANGELO PALLOTTA

MEDICARE: NICOLANGELO PALLOTTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-25-85349NJ

General Provider Information

NPI Number : 1518801398
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLANGELO PALLOTTA
Provider Business Mailing Address
First Line : 300 BROADACRES DR STE 175
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3165
Country : US
Telephone Number : 201-720-8600
Fax Number : 201-353-2323
Provider Business Practice Location Address
First Line : 300 BROADACRES DR STE 175
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3165
Country : US
Telephone Number : 201-720-8600
Fax Number : 201-353-2323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ NICOLANGELO PALLOTTA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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