Physician Compare National (NPI:1679742415)

HEALTHCARE PROVIDER: NICOLE BERNADETTE TARDIO P.A.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679742415
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830274794
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170413001901
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TARDIO
	Individual professional last name
Provider First Name	NICOLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SCHWEIGER DERMATOLOGY PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0143442806
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	42
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2 HUDSON PL
	Group Practice or individual's line 1 address
City	HOBOKEN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070305594
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2122833000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y