Nickjax LLC
NPI 1992070056ActiveOrganization· PACE Provider Organization· New York, NY
PACE Provider Organization in New York, New York, registered in NPPES in March 2012. The authorized official on file is Richard Mancuso, Executive Director.
Overview
| NPI | 1992070056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2012 |
| Last updated in NPPES | Mar 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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