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Nicholas Olivero

Dentist β€’ Lyons, NJ

Active NPI 1124988951 Individual Practitioner Male Practitioner
Practice location in NPPES

151 Knollcroft Rd
Lyons, NJ 079395001

Call 9086470180 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

151 Knollcroft Rd

Lyons, NJ 079395001

Telephone 9086470180
Organization at the Same NPPES Address or Phone
East Orange Vamc Facility NPI 1447208442

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lyons and New Jersey

3 active clinicians are listed under Dentist with a practice address in Lyons, NJ (2,743 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES NJ 22DI03147600

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Sandra Dooley , PA-C

Physician Assistant - Medical

NPI 1194829796

Physician Assistant (Certified)

Dr. Elizaveta Malinina , DMD

Student in an Organized Health Care Education/Training Program

NPI 1104276088

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Dentist (license number reported to NPPES: NJ 22DI03147600)

βœ…
NPI Profile Active November 14, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 14, 2025

Registered at 151 KNOLLCROFT RD, LYONS, NJ 079395001 (Tel: 9086470180)

πŸ“
Business Mailing Address (Initial Record) November 14, 2025

Registered at 3 VERMELLA WAY APT 4032, UNION, NJ 070832636

πŸ‘€
Provider Name / Credentials (Initial Record) November 14, 2025

Recorded as NICHOLAS OLIVERO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 14, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124988951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2025
Last Update: April 23, 2026
Sole Proprietor: No

Mailing Address

3 Vermella Way Apt 4032

Union, NJ 070832636

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.