MEDICARE: DR. PATRICK NICANDA ALLALA

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
1	251E00000X	Home Health Agency	HP0399700	NJ

General Provider Information

NPI Number	:	1699624445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK NICANDA ALLALA

Provider Business Mailing Address
First Line	:	PO BOX 4105
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07474-4105
Country	:	US
Telephone Number	:	551-204-0156
Fax Number	:

Provider Business Practice Location Address
First Line	:	47A BYRNE CT
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3637
Country	:	US
Telephone Number	:	551-204-0156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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