IndividualActive
Anthony Piccolo, PA
NPI 1164933149 · Medical Physician Assistant · Verona, NJ
Provider details
- NPI number
- 1164933149
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 25MP00452200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
197 Bloomfield Ave
Verona, NJ 07044-2702
Phone: (973) 857-0330
Fax: (973) 857-0980
Approximate (ZIP-level) locationGet directions
Mailing address
197 Bloomfield Ave
Verona, NJ 07044-2702
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.