Donna Nickles
Donna Nickles is a Specialist provider (Specialist) practicing in Paramus, NJ, registered in the NPPES registry with NPI 1063400547 since 2005.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063400547 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Donna Nickles |
| Sex | Female |
| Practice address | 80 EISENHOWER DR, SUITE 200, Paramus, NJ, 07652 |
| Phone | 2018432800 |
| Fax | 9739390273 |
| Enumeration date | 2005-10-10 |
| Last updated in NPPES | 2017-04-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 25MB03792500 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2807666 | Other | NJ | AETNA HMO # |
| 39F312 | Other | NJ | EMPIRE BCBS # |
| 160055692 | Other | NJ | RAILROAD MCR # |
| 1K4890 | Other | NJ | HEALTHNET # |
| P2631203 | Other | NJ | OXFORD # |
| 0105583000 | Other | NJ | AMERIHEALTH # |
| 4252756 | Other | NJ | AETNA PPO # |
Copy-ready billing details
Provider: Donna Nickles NPI: 1063400547 Taxonomy: 174400000X (Specialist) Address: 80 EISENHOWER DR, SUITE 200, Paramus, NJ, 07652
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871581363 | Thomas Russo | Individual | Specialist | Paramus, NJ |
| 1033159124 | Katherine Obrien | Individual | Obstetrics & Gynecology Physician | Paramus, NJ |
| 1437194180 | Valley Ob & Gyn Assoc P A | Organization | Specialist | Paramus, NJ |
| 1740202845 | Endoscopy Center of Bergen County, LLC | Organization | Ambulatory Surgical Clinic/Center | Paramus, NJ |
| 1609948793 | Jennifer Nash | Individual | Nurse Practitioner | Paramus, NJ |
| 1396009346 | Paramus Endoscopy LLC | Organization | Ambulatory Surgical Clinic/Center | Paramus, NJ |
| 1487905246 | Grace Qarmout | Individual | Primary Care Nurse Practitioner | Paramus, NJ |
Verify this record
Cross-check NPI 1063400547 against the authoritative CMS record: view Donna Nickles on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-25.