Individual provider Active NPI

Agnieszka Lesniak, APN

  • Adult Health Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1376894378
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00393000 Issued in NJ
Practice address
240 Williamson St Ste 402
Elizabeth, NJ 07202-3673
Phone
(908) 354-8900
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 26NJ00393000 NJ Primary

Addresses

Primary practice location

240 Williamson St Ste 402
Elizabeth, NJ 07202-3673

Mailing address

520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300

Other identifiers 1

IdentifierTypeStateIssuer
0357120MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agnieszka.lesniak.p16@direct.hunterdon.nextgenshare.com Direct

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
I20130225000285 NJ Practitioner - Nurse Practitioner 7810142866 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Cardiovascular Specialists P.C CurrentSince Nov 10, 2012 Accepting new patients
Hunterdon Medical Center CurrentSince Sep 30, 2019 Accepting new patients
Hunterdon Medical Center CurrentSince Sep 30, 2019 Accepting new patients

Locations

240 Williamson St
Ste 402
Elizabeth, NJ 07202
Phone (908) 354-8900

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

1100 Wescott Dr
Ste G3
Flemington, NJ 08822
Phone (908) 788-1710

1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471

520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330

Interoperability endpoints

  • Direct secure messaging: agnieszka.lesniak.p16@direct.hunterdon.nextgenshare.com

Organizations & group practices 3

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1376894378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 402",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023673",
            "telephone_number": "908-354-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "AGNIESZKA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00393000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357120",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agnieszka.lesniak.p16@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Westcott Drive, Ste G3",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.