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Nicholas Pascullo, LPN
NPI 1629590617 · Licensed Practical Nurse · Lake Ronkonkoma, NY
Nicholas Pascullo, LPN is a Licensed Practical Nurse provider in Lake Ronkonkoma, NY (NPI 1629590617).
Provider details
- NPI number
- 1629590617
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 314796-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
153 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3157
Phone: (631) 471-5666
Street-level locationGet directions
Mailing address
60 Fairfax Dr
Coram, NY 11727-2317
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2017-07-11
Frequently asked questions
- What is Nicholas Pascullo's NPI number?
- Nicholas Pascullo's National Provider Identifier (NPI) is 1629590617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Pascullo's specialty?
- Nicholas Pascullo is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Nicholas Pascullo located?
- Nicholas Pascullo's practice location on file with NPPES is 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3157.
- What is Nicholas Pascullo's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Pascullo is (631) 471-5666.
- Is Nicholas Pascullo's NPI active?
- Yes — Nicholas Pascullo's NPI (1629590617) is active in the NPPES registry as of the last update on 2017-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.