Active NPI
Erica B Polaneczky, APNC
- Adult Health Nurse Practitioner
- Delran, NJ
National Provider Identifier
1003974858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00042500
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00042500 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazareth Hospital | Current | Accepting new patients | |
| Nazareth Hospital | Current | 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
- 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.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1124023015
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1215064704
-
dba AtlantiCare Internal Medicine
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
-
- Internal Medicine Physician
- Delron, NJ
- NPI 1942386123
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
- Sahara Perkins, LCSW
- Autumn Perlmutter
- Elizabeth Petrie, MPT
- Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
- Kimone Anieka Plummer, M.S.
- August R Polino, D.C.
- Jason R Polino, D.C.
- Pramukh Medical Services LLC (Fyzical Therapy and Balance Center)
- Raymond Ragland III, MD
- Debora Anne Rausch, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.