MRS. MARNI L NICHOLAS MD NPI 1174517122

NPI Information

NPI: 1174517122
Provider Name: MRS. MARNI L NICHOLAS, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1080 E INDIANTOWN RD
SUITE 206
JUPITER, FL
ZIP 33477
Phone: (561) 741-5566

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NPI Details

MRS. Marni L Nicholas, MD is an internal medicine in Jupiter, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MRS. Marni L Nicholas, MD NPI is 1174517122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1080 E INDIANTOWN RD
SUITE 206
JUPITER, FL
ZIP 33477-100
Phone: (561) 741-5566
Fax: (561) 295-5237

The NPI 1174517122 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 9/6/2005 and was last updated on 1/29/2016.

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	License Number	License State	Primary
1	207R00000X	Internal Medicine	12286	NEW HAMPSHIRE	No
2	207R00000X	Internal Medicine	229705	NEW YORK	No
3	207R00000X	Internal Medicine	ME123735	FLORIDA	Yes

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
1	I09518	MEDICARE UPIN	NEW HAMPSHIRE
2	420610099	MEDICAID	NEW HAMPSHIRE
3	MX8441	MEDICARE PIN	NEW HAMPSHIRE
4	RE7718	MEDICARE PIN	NEW HAMPSHIRE
5	3082849	MEDICAID	NEW HAMPSHIRE
6	30204330	MEDICAID	NEW HAMPSHIRE

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: 3/30/2025

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