Individual provider Active NPI

Agnieszka Malgorzata Hass

  • Nurse Practitioner
  • Roselle, NJ
National Provider Identifier
1396392460
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26ZNJ00950100 Issued in NJ
Practice address
776 E Thrid Avenue
Roselle, NJ 07203
Phone
(908) 241-5545
Fax
(908) 241-5548
NPI assigned
Aug 22, 2019
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00950100 NJ
Nurse Practitioner 363L00000X 26ZNJ00950100 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ00950100 NJ

Addresses

Primary practice location

776 E Thrid Avenue
Roselle, NJ 07203

Mailing address

181 Broad St
Keyport, NJ 07735-1246
Phone (732) 687-7092

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
I20200210001239 NJ Practitioner - Nurse Practitioner 4284060385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

776 E 3Rd Ave
Roselle, NJ 07203-1698
Phone (908) 241-5545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26ZNJ00950100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Nov 30, 2019 Accepting new patients
Hospitalist Physicians of New Jersey PA Nurse Practitioner CurrentSince Apr 1, 2026 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 30, 2019 Accepting new patients

Locations

240 Williamson St
Ste 401
Elizabeth, NJ 07202
Phone (908) 282-0500

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

776 E 3rd Ave
Roselle, NJ 07203
Phone (908) 241-5545

776 E 3rd Ave
Ste 2
Roselle, NJ 07203
Phone (908) 241-5545

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

Interoperability endpoints

  • Direct secure messaging: ahaas60558@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1396392460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BROAD ST",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351246",
            "telephone_number": "732-687-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 E THRID AVENUE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "07203",
            "telephone_number": "908-241-5545",
            "fax_number": "908-241-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASS",
        "first_name": "AGNIESZKA",
        "middle_name": "MALGORZATA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00950100",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26ZNJ00950100",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00950100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

Verify at the official NPI Registry.