Individual provider Active NPI

Agnieszka M Kwapniewski, M.D

  • Internal Medicine Physician
  • North Arlington, NJ
National Provider Identifier
1528007457
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07529400 Issued in NJ
Practice address
312 Belleville Tpke
Suite 1 C
North Arlington, NJ 07031-6463
Phone
(201) 997-4040
Fax
(201) 997-4040
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07529400 NJ Primary

Addresses

Primary practice location

312 Belleville Tpke
Suite 1 C
North Arlington, NJ 07031-6463

Mailing address

312 Belleville Tpke
Suite 1 C
North Arlington, NJ 07031-6463
Phone (201) 997-4040

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000120 NJ Practitioner - Internal Medicine 4981677333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Practice,LLC.Group PAC ID 4880736883, 2 clinicians

Practice addresses (Care Compare)

312 Belleville Tpke
North Arlington, NJ 07031-6460
Phone (201) 997-4040

312 Belleville Turnpike
Suite 1 C
North Arlington, NH 07031-6460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07529400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Practice,LLC. Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients

Locations

312 Belleville Tpke
Ste 1C
North Arlington, NJ 07031
Phone (201) 997-4040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEIAA/Endpoint/FJEIAA

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1528007457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "SUITE 1 C",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-997-4040",
            "fax_number": "201-997-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "SUITE 1 C",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-997-4040",
            "fax_number": "201-997-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAPNIEWSKI",
        "first_name": "AGNIESZKA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07529400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

Verify at the official NPI Registry.