Nicole Jones, PA-C is a
Physician Assistant based in Pequannock, New Jersey. Nicole Jones is licensed to practice in New Jersey (license number 25MP00974900) and her current practice location is
12 Roland Rd, Pequannock, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 980-0094.
NPI number for Nicole Jones is 1962370163 and her current mailing address is 12 Roland Rd, Pequannock, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962370163.
Provider's Profile
| Full Name | Nicole Jones |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 12 Roland Rd, Pequannock, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962370163
- Provider Enumeration Date: 10/28/2025
- Last Update Date: 10/30/2025
Medical Identifiers
Medical identifiers for Nicole Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962370163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 25MP00974900 (New Jersey) | 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. Nicole Jones 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 |
Nicole Jones, PA-C 12 Roland Rd, Pequannock, NJ 07440-1909 Ph: () - | Nicole Jones, PA-C 12 Roland Rd, Pequannock, NJ 07440-1909 Ph: (973) 980-0094 |
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