Individual provider Active NPI

Patrycja Bozena Quackenbush, APN-C

  • Adult Health Nurse Practitioner
  • Holmdel, NJ
National Provider Identifier
1437414117
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00382700 Issued in NJ
Practice address
101 Crawfords Corner Rd
Holmdel, NJ 07733-1976
Phone
(848) 997-7700
Fax
(609) 991-6414
NPI assigned
Jul 9, 2012
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00382700 NJ Primary
Primary Care Nurse Practitioner 363LP2300X 26NJ00382700 NJ

Addresses

Primary practice location

101 Crawfords Corner Rd
Holmdel, NJ 07733-1976

Mailing address

101 Crawfords Corner Rd
Holmdel, NJ 07733-1976
Phone (848) 997-7700

Other names 1

  • Patrycja Bozena Kasprzak Other name

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
I20181227002399 NJ Practitioner - Nurse Practitioner 4284931239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

101 Old Short Hills Rd
Suite 106
West Orange, NJ 07052-1023
Phone (973) 322-6256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00382700NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Aug 29, 2022 Accepting new patients
Rwjbh Primary Care Services Nurse Practitioner CurrentSince Jan 18, 2026 Accepting new patients
Summit Medical Group PA CurrentSince Aug 29, 2022 Accepting new patients
Franklin Medical Care, LLC Past Accepting new patients
Summit Medical Group, Inc Nurse Practitioner Past Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

101 Old Short Hills Rd
Ste 106
West Orange, NJ 07052
Phone (973) 322-6256

Interoperability endpoints

  • Direct secure messaging: patrycja.quackenbush.1@2983.direct.athenahealth.com

Organizations & group practices 6

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1437414117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CRAWFORDS CORNER RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331976",
            "telephone_number": "848-997-7700",
            "fax_number": "609-991-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CRAWFORDS CORNER RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331976",
            "telephone_number": "848-997-7700",
            "fax_number": "609-991-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACKENBUSH",
        "first_name": "PATRYCJA",
        "middle_name": "BOZENA",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00382700",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00382700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRYCJA",
            "last_name": "KASPRZAK",
            "middle_name": "BOZENA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.