Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063400547 Individual Practitioner Female Practitioner

Donna Nickles

Specialist • Paramus, NJ

Professional Overview & Biography Verified Profile Summary

Donna Nickles is a registered healthcare professional specializing in Specialist in Paramus, NJ. Practice services are available at 80 EISENHOWER DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

80 Eisenhower Dr
Suite 200

Paramus, NJ 076521401

Telephone 2018432800
Fax 9739390273
Associated Practice Facility / Clinic
🏢 Valley Ob & Gyn Assoc P A Facility NPI 1437194180

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Paramus, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.9 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Paramus, NJ (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 21 $172.00 $121.82

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MB03792500

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna Hmo #
2807666 (NJ)
Commercial Insurance / Payer ID Empire Bcbs #
39F312 (NJ)
Commercial Insurance / Payer ID Railroad Mcr #
160055692 (NJ)
Commercial Insurance / Payer ID Healthnet #
1K4890 (NJ)
Commercial Insurance / Payer ID Oxford #
P2631203 (NJ)
Commercial Insurance / Payer ID Amerihealth #
0105583000 (NJ)
Commercial Insurance / Payer ID Aetna Ppo #
4252756 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Katherine Obrien , MD

Obstetrics & Gynecology

NPI 1033159124

Doctor of Medicine (M.D.)

Edith Meier , APN

Nurse Practitioner - Obstetrics & Gynecology

NPI 1326358862

Advanced Practice Nurse

Sara Schochet , FNP

Nurse Practitioner - Family

NPI 1487480836

Family Nurse Practitioner

Grace Qarmout , RN, NP-C

Nurse Practitioner - Primary Care

NPI 1487905246

Registered Nurse, Nurse Practitioner (Certified)

Jennifer Nash , CAPN

Nurse Practitioner

NPI 1609948793
Thomas Russo

Specialist

NPI 1871581363

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2017

Registered at 80 EISENHOWER DR, SUITE 200, PARAMUS, NJ 076521401 (Tel: 2018432800)

📍
Updated Business Mailing Address April 25, 2017

Registered at 80 EISENHOWER DR, SUITE 200, PARAMUS, NJ 076521401 (Tel: 2018432800)

👤
Provider Name / Credentials Updated April 25, 2017

Recorded as DONNA NICKLES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Specialist (License #25MB03792500 in NJ)

NPI Profile Active September 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2007

Registered at 80 EISENHOWER DR, PARAMUS, NJ 076521401 (Tel: 2018432800)

📍
Updated Business Mailing Address September 13, 2007

Registered at 80 EISENHOWER DR, PARAMUS, NJ 076521401 (Tel: 2018432800)

👤
Provider Name / Credentials Updated September 13, 2007

Recorded as DONNA NICKLES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2007

Specialist (License #25MB03792500 in NJ)

🟢
Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063400547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2005
Last Update: April 25, 2017
Sole Proprietor: No

Mailing Address

80 Eisenhower Dr, Suite 200

Paramus, NJ 076521401

Phone: 2018432800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.