DR. ANTHONY PETER NICOSIA M.D. NPI 1396820668

NPI Information

  • NPI: 1396820668
  • Provider Name: DR. ANTHONY PETER NICOSIA, M.D.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1502 SE HOLIDAY RD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Phone: (772) 332-1757

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NPI Details

DR. Anthony Peter Nicosia, M.D. is a geriatric medicine family medicine in Port Saint Lucie, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Anthony Peter Nicosia, M.D. NPI is 1396820668. 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:

1502 SE HOLIDAY RD
PORT SAINT LUCIE, FL
ZIP 34952-416
Phone: (772) 332-1757
Fax: (772) 777-3044

The NPI 1396820668 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 10/26/2006 and was last updated on 10/27/2016.

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 Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME91689FLORIDANo
2207QA0000XFamily MedicineAdolescent MedicineME91689FLORIDANo
3207QA0505XFamily MedicineAdult MedicineME91689FLORIDANo
4207QG0300XFamily MedicineGeriatric MedicineME91689FLORIDAYes

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
1278035600MEDICAIDFLORIDA
20940704MEDICAIDNEW JERSEY
3NI504700MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE ID NUMBER
4D06752MEDICARE UPIN
5U4211MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE ID NUMBER

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: 11/21/2025

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