Nicole Alexa Gonglik, RDN is a
Dietitian, Registered based in Oakford, Pennsylvania. Nicole Alexa Gonglik is licensed to practice in Pennsylvania (license number DN007291) and her current practice location is
1167 Haines Ave, Oakford, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 912-7850.
NPI number for Nicole Alexa Gonglik is 1639767536 and her current mailing address is 1167 Haines Ave, Oakford, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639767536.
Healthcare Provider's Profile
Full Name | Nicole Alexa Gonglik |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1167 Haines Ave, Oakford, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639767536
- Provider Enumeration Date: 01/06/2021
- Last Update Date: 01/06/2021
Medical Identifiers
Medical identifiers for Nicole Alexa Gonglik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639767536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN007291 (Pennsylvania) | 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 Alexa Gonglik 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 Alexa Gonglik, RDN 1167 Haines Ave, Oakford, PA 19053-3621 Ph: (267) 912-7850 | Nicole Alexa Gonglik, RDN 1167 Haines Ave, Oakford, PA 19053-3621 Ph: (267) 912-7850 |
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