Individual provider Active NPI

Ann M Cwiklinski, RN,APN,C

  • Adult Health Nurse Practitioner
  • Brigantine, NJ
National Provider Identifier
1104011238
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN05126100 Issued in NJ
Practice address
353 12TH St S
Brigantine, NJ 08203-2211
Phone
(609) 266-7557
NPI assigned
Sep 11, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 26NN05126100 NJ Primary

Addresses

Primary practice location

353 12TH St S
Brigantine, NJ 08203-2211

Mailing address

353 12TH St S
Brigantine, NJ 08203-2211
Phone (609) 266-7557

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
I20051110000355 NJ Practitioner - Nurse Practitioner 8820016520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN05126100NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald C. Gove, MD, PA CurrentSince Apr 1, 2014 Accepting new patients
Asthma and Pulmonary Diagnostic Associates Past Accepting new patients
Coyle S Connolly DO PA PastSince Mar 15, 2002 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

222 New Rd
Ste 304
Linwood, NJ 08221
Phone (609) 927-9790

222 New Rd
Ste 505
Linwood, NJ 08221

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1104011238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 12TH ST S",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082032211",
            "telephone_number": "609-266-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 12TH ST S",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082032211",
            "telephone_number": "609-266-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CWIKLINSKI",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN,APN,C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN05126100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigantine, NJ

Sources for this page

Verify at the official NPI Registry.