Mr Michael D'ercole Jr, is a
Physician Assistant based in Closter, New Jersey. Mr Michael D'ercole Jr is licensed to practice in New York (license number 034846-01) and his current practice location is
140 Herbert Ave # 2, Closter, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 540-6315.
NPI number for Mr Michael D'ercole Jr is 1871444307 and his current mailing address is 140 Hertbert Ave #2, Closter, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871444307.
Provider's Profile
| Full Name | Mr Michael D'ercole Jr |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 140 Herbert Ave # 2, Closter, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871444307
- Provider Enumeration Date: 02/09/2026
- Last Update Date: 02/09/2026
Medical Identifiers
Medical identifiers for Mr Michael D'ercole Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871444307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 25MP00975100 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 034846-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael D'ercole Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Michael D'ercole Jr,
140 Hertbert Ave #2,
Closter, NJ 07624
Ph: (201) 540-6315 | Mr Michael D'ercole Jr,
140 Herbert Ave # 2,
Closter, NJ 07624-1300
Ph: (201) 540-6315 |
Reviews and Comments