Individual provider Active NPI

Magdalena E Kowalski, APN

  • Family Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1083801864
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25MA04456600 Issued in NJ
Practice address
246 Hamburg Tpke Ste 205
Wayne, NJ 07470-2160
Phone
(973) 389-1800
Fax
(973) 636-2734
NPI assigned
Sep 26, 2007
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25MA04456600 NJ Primary

Addresses

Primary practice location

246 Hamburg Tpke Ste 205
Wayne, NJ 07470-2160

Mailing address

468 Parish Dr
Suite 6
Wayne, NJ 07470-4671
Phone (973) 305-8300

Other practice location 1

71 Crescent Ave
Waldwick, NJ 07463-1319
Phone (201) 445-1700

Other practice location 2

468 Parish Dr
Suite 6
Wayne, NJ 07470-4671
Phone (973) 686-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807000298 NJ Practitioner - Nurse Practitioner 7012134547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Physicians Healthcare Group IncGroup PAC ID 2567645401, 25 clinicians

Practice addresses (Care Compare)

246 Hamburg Tpke
Suite 105
Wayne, NJ 07470-2159
Phone (973) 389-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04456600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc CurrentSince May 1, 2025 Accepting new patients
High Mountain Health, PA CurrentSince Jun 11, 2014 Accepting new patients

Locations

71 Crescent Ave
Waldwick, NJ 07463
Phone (201) 445-1700

246 Hamburg Tpke
Ste 105
Wayne, NJ 07470
Phone (973) 389-1800

246 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 389-1800

468 Parish Dr
Ste 1
Wayne, NJ 07470
Phone (973) 305-8300

468 Parish Dr
Ste 6
Wayne, NJ 07470
Phone (973) 686-2777

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1083801864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 PARISH DR",
            "address_2": "SUITE 6",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704671",
            "telephone_number": "973-305-8300",
            "fax_number": "973-305-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 205",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-389-1800",
            "fax_number": "973-636-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Waldwick",
            "state": "NJ",
            "postal_code": "074631319",
            "country_code": "US",
            "telephone_number": "201-445-1700",
            "fax_number": "201-445-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Parish Dr",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074704671",
            "country_code": "US",
            "telephone_number": "973-686-2777",
            "fax_number": "973-686-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "MAGDALENA",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "25MA04456600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.