Individual provider Active NPI

Erica B Polaneczky, APNC

  • Adult Health Nurse Practitioner
  • Delran, NJ
National Provider Identifier
1003974858
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00042500 Issued in NJ
Practice address
2906 Route 130
Suite 201
Delran, NJ 08075-2521
Phone
(856) 764-4115
Fax
(856) 764-4116
NPI assigned
Dec 5, 2006
Last updated
Feb 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00042500 NJ Primary

Addresses

Primary practice location

2906 Route 130
Suite 201
Delran, NJ 08075-2521

Mailing address

303 Main St
Riverton, NJ 08077-1240
Phone (609) 221-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00042500NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nazareth Hospital CurrentSince Jan 24, 2024 Accepting new patients
Nazareth Hospital CurrentSince Jan 24, 2024 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Epstein Internal Medicine Past Accepting new patients

Locations

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

Interoperability endpoints

  • Direct secure messaging: epolaneczky2013744@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1003974858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MAIN ST",
            "city": "RIVERTON",
            "state": "NJ",
            "postal_code": "080771240",
            "telephone_number": "609-221-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 ROUTE 130",
            "address_2": "SUITE 201",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752521",
            "telephone_number": "856-764-4115",
            "fax_number": "856-764-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANECZKY",
        "first_name": "ERICA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00042500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.