Agnieszka Maria Wydra

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03382700 Issued in NJ

Practice address

899 Mountain Ave
FL. 3
Springfield, NJ 07081-3455

Phone

(973) 376-1701

NPI assigned

Sep 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1407137185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SUNSHINE CT",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592402",
            "telephone_number": "908-268-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 MOUNTAIN AVE",
            "address_2": "FL. 3",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813455",
            "telephone_number": "973-376-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYDRA",
        "first_name": "AGNIESZKA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03382700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylene Williams, FNP
• Olivia A Wilson
• Robert Winston, MSW, LCSW
• Morey Wosnitzer, M.D.
• Sandra Wulach, MD
• Maria Milagros Yambao, DDS
• Kathleen A Yemm, LCSW
• Sara Amy Youner, L.AC
• Your Neighborhood Clinic LLC
• Uzma Zafar, MD

• Pharmacist in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.