NPI Code Details Logo

NPI 1609883248

NPI 1609883248 : JOSEPH M PICARDI CNP : ATLANTIC CITY, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609883248
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOSEPH M PICARDI CNP
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/02/2006
-----------------------------------------------------
    Last Update Date     |    03/01/2008
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1401 ATLANTIC AVE SUITE 2300
-----------------------------------------------------
    City                 |    ATLANTIC CITY
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08401-7022
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-441-8962
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2201 OCEAN AVE 
-----------------------------------------------------
    City                 |    BRIGANTINE
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08203-1940
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.