Erica B Polaneczky, APNC

Key facts

NPI

1003974858

Entity type

Individual (NPI type 1)

Primary specialty

Adult Health Nurse Practitioner 363LA2200X

License

26NJ00042500 (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

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Nazareth Hospital General Acute Care Hospital · Philadelphia, PA · NPI 1124023015
  NPD
• Nazareth Hospital Ambulatory Surgical Clinic/Center · Philadelphia, PA · NPI 1215064704
  NPD
• Atlanticare Physician Group Primary Care Clinic/Center · Ventnor City, NJ · NPI 1194839910
  NPD (past)
• Epstein Internal Medicine Internal Medicine Physician · Delron, NJ · NPI 1942386123
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2024.

{
    "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": []
}

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• Debora Anne Rausch, MD

All providers in Delran, NJ · Adult Health Nurse Practitioner in New Jersey