Individual provider Active NPI

Frances Carol Zacek, APRN-BC, CWOCN, CNL

  • Gerontology Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1346094778
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15053900 Issued in NJ
Practice address
150 Bergen St
Newark, NJ 07103-2496
Phone
(973) 972-3031
Fax
(973) 972-5902
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15053900 NJ Primary

Addresses

Primary practice location

150 Bergen St
Newark, NJ 07103-2496

Mailing address

199 Continental Ave
Colonia, NJ 07067-2905
Phone (201) 600-3392

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
I20240801001122 NJ Practitioner - Nurse Practitioner 9032656699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

3626 Route 1 N
Princeton, NJ 08540-5922
Phone (609) 945-3611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15053900NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

101 N Grove St
East Orange, NJ 07017
Phone (973) 672-1700

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1346094778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CONTINENTAL AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672905",
            "telephone_number": "201-600-3392",
            "fax_number": "973-972-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-3031",
            "fax_number": "973-972-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACEK",
        "first_name": "FRANCES",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "APRN-BC, CWOCN, CNL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15053900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.