Ewelina Pacyga

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01375700 Issued in NJ

Practice address

52 Krakow St
Garfield, NJ 07026-1408

Phone

(201) 970-7748

NPI assigned

Oct 3, 2022

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • Union City, NJ
  • NPI 1548626005
  NPD (past)
• North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • West New York, NJ
  • NPI 1659323442
  NPD (past)
• Open Door Family Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ossining, NY
  • NPI 1467487637
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1558085613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 KRAKOW ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 KRAKOW ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261408",
            "telephone_number": "201-970-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACYGA",
        "first_name": "EWELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01375700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dritar Odza, OTR
• Optimal Support Services
• Gbemisola Ajeola Ore-Ofe, PMHNP-BC
• Oscar Marcilla MD PC
• Outside the Wall Counseling Services
• Rossio Palacios
• Ji Young Park, PHARMD
• So Yeun Park, PHARMD
• Passionate Care
• Mudra Patel

• Family Nurse Practitioner in Garfield, NJ
• Providers in Garfield, 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 Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.