Ann M Cwiklinski, RN,APN,C
Individual provider Active NPI Adult Health Nurse Practitioner · Brigantine, NJ
NPI 1104011238 · NPPES record last updated Nov 2, 2007
Key facts
- NPI
- 1104011238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NN05126100 (NJ)
- Practice address
- 353 12TH St S
Brigantine, NJ 08203-2211 - Phone
- (609) 266-7557
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051110000355 | NJ | Practitioner - Nurse Practitioner | 8820016520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN05126100 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald C. Gove, MD, PA | Current |
Accepting new patients | |
| Coyle S Connolly DO PA | Past |
Accepting new patients | |
| Asthma and Pulmonary Diagnostic Associates | Past | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN05126100 | NJ | Yes |
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
Other providers in Brigantine, NJ
- Lynn Chelucci
- City of Brigantine
- Coastal Physical Therapy and Wellness LLC
- Beverly Anne Cocozza
- Erin Connor
- Megan Danaher
- Jeffrey R. Delson
- Arthur Frank Demarco
- Dental Care of Brigantine II LLC
- Jacqueline Dorothy Derby
All providers in Brigantine, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.