Individual provider Active NPI

Monika K Niemiec, APN

  • Adult Health Nurse Practitioner
  • Garfield, NJ
National Provider Identifier
1407492879
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00971000 Issued in NJ
Practice address
535 Midland Ave
Garfield, NJ 07026-1658
Phone
(973) 340-1182
NPI assigned
Nov 20, 2019
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00971000 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ00971000 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00971000 NJ

Addresses

Primary practice location

535 Midland Ave
Garfield, NJ 07026-1658

Mailing address

535 Midland Ave
Garfield, NJ 07026-1658
Phone (973) 340-1182

Other practice location 1

43 Yawpo Ave
Oakland, NJ 07436-2714
Phone (201) 337-0066

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
I20221012002640 NJ Practitioner - Nurse Practitioner 1052787231 Reassigns benefits to 1 organization

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
Cardiovascular Wellness LLCGroup PAC ID 4284771619, 2 clinicians

Practice addresses (Care Compare)

936 Main Ave
Passaic, NJ 07055-8623
Phone (908) 259-5775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00971000NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Wellness LLC CurrentSince Sep 28, 2022 Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients

Locations

936 Main Ave
Passaic, NJ 07055
Phone (908) 259-5775

221 Chestnut St
Roselle, NJ 07203
Phone (908) 259-5775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1407492879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MIDLAND AVE",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261658",
            "telephone_number": "973-340-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MIDLAND AVE",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261658",
            "telephone_number": "973-340-1182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Yawpo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074362714",
            "country_code": "US",
            "telephone_number": "201-337-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "MONIKA",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00971000",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00971000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00971000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

Verify at the official NPI Registry.