Mr Michael D'ercole Jr, is a medicare enrolled "Physician Assistant" in Closter, New Jersey. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Nyack Emergency Medical Association Pllc and his current practice location is
140 Herbert Ave # 2, Closter, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 540-6315.
Mr Michael D'ercole Jr is licensed to practice in New York (license number 034846-01) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871444307.
Provider's Profile
| Full Name | Mr Michael D'ercole Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 140 Herbert Ave # 2, Closter, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael D'ercole Jr graduated from nursing school in 2025
NPI Data:
- NPI Number: 1871444307
- Provider Enumeration Date: 02/09/2026
- Last Update Date: 02/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638648215
- Enrollment ID: I20260513000150
Medical Identifiers
Medical identifiers for Mr Michael D'ercole Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871444307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 25MP00975100 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 034846-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nyack Emergency Medical Association Pllc | 2062411036 | 60 |
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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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 |
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