Active NPI
Agnieszka Palecki, MD
- Pulmonary Disease Physician
- Forked River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA07931500
- Practice address
- 730 Lacey Rd Ste G-07
Forked River, NJ 08731-1300 - Phone
- (609) 339-2003
- Fax
- (609) 339-2016
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MA07931500 | NJ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MA07931500 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA07931500 | NJ | Primary |
Addresses
Primary practice location
730 Lacey Rd Ste G-07
Forked River, NJ 08731-1300
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877
Other practice location 1
848 west bay ave
unit E
Barnegat, NJ 08005
Phone (609) 660-8100
Other practice location 2
44 Nautilus Dr
Manahawkin, NJ 08050-2466
Phone (609) 339-2003
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070503000015 | NJ | Practitioner - Pulmonary Disease | 2668578964 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Optum Medical Care of New Jersey PC
Practice addresses (Care Compare)
506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012
935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012
Hospital & facility affiliations
- Southern Ocean Medical Center
- Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07931500 | NJ | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Dover Pulmonary Associates, P.a. | Past | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients | |
| Midstate Rheumatology Center | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABJIBA
- apalecki77065@direct.optum.com
- https://fhir4.healow.com/fhir/r4/HHIAAA
Organizations & group practices 6
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.
-
- Durable Medical Equipment & Medical Supplies
- Toms River, NJ
- NPI 1477273480
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
-
- Specialist
- Toms River, NJ
- NPI 1184762114
-
- Rheumatology Physician
- Freehold, NJ
- NPI 1164587283
Hospital & facility affiliations 2
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": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1205995248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015792",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 LACEY RD STE G-07",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087311300",
"telephone_number": "609-339-2003",
"fax_number": "609-339-2016"
}
],
"practiceLocations": [
{
"address_1": "848 west bay ave",
"address_2": "unit E",
"address_purpose": "LOCATION",
"city": "Barnegat",
"state": "NJ",
"postal_code": "08005",
"country_code": "US",
"telephone_number": "609-660-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 Nautilus Dr",
"address_purpose": "LOCATION",
"city": "Manahawkin",
"state": "NJ",
"postal_code": "080502466",
"country_code": "US",
"telephone_number": "609-339-2003",
"fax_number": "609-339-2016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALECKI",
"first_name": "AGNIESZKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "MA07931500",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NJ",
"license": "MA07931500",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA07931500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.