Loretta Marie Agis, RN, APN.C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00201300 Issued in NJ

Practice address

303 Franklin Ave
Wyckoff, NJ 07481-2095

Phone

(201) 891-6660

NPI assigned

Jun 25, 2009

Last updated

Aug 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lori Marie Agis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1427286756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812095",
            "telephone_number": "201-891-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812095",
            "telephone_number": "201-891-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 West Hanover Avenue",
            "address_purpose": "LOCATION",
            "city": "Morris Township",
            "state": "NJ",
            "postal_code": "07960",
            "country_code": "US",
            "telephone_number": "973-285-2800",
            "fax_number": "973-631-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGIS",
        "first_name": "LORETTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, APN.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00201300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "AGIS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Family Nurse Practitioner in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.