DR. NICK MUCCIARDI MD NPI 1073670303

NPI Information

NPI: 1073670303
Provider Name: DR. NICK MUCCIARDI, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1030 PRESIDENT AVE
SUITE 210
FALL RIVER, MA
ZIP 02720
Phone: (508) 973-1780
Get Directions

DR. Nick Mucciardi, MD is a pulmonary disease internal medicine in Fall River, MA with 46 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Nick Mucciardi, MD NPI is 1073670303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1030 PRESIDENT AVE
SUITE 210
FALL RIVER, MA
ZIP 02720-923
Phone: (508) 973-1780
Fax: (508) 973-0359

The NPI 1073670303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 4/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	44581	MASSACHUSETTS	Yes
2	207RP1001X	Internal Medicine	Pulmonary Disease	MD06886	RHODE ISLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110064580A	MEDICAID	MASSACHUSETTS
2	NM04777	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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