Individual provider Active NPI

Veronica Pruchansky, DNP, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1629794037
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01383600 Issued in NJ
Practice address
9 Fayette PL
Fair Lawn, NJ 07410-3608
Phone
(201) 334-8677
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01383600 NJ Primary

Addresses

Primary practice location

9 Fayette PL
Fair Lawn, NJ 07410-3608

Mailing address

9 Fayette PL
Fair Lawn, NJ 07410-3608
Phone (201) 334-8677

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
I20230120000059 NJ Practitioner - Nurse Practitioner 3870964372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Fridman LLCGroup PAC ID 6608207725, 5 clinicians

Practice addresses (Care Compare)

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1856
Phone (201) 987-6090

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Fridman LLC CurrentSince Oct 17, 2022 Accepting new patients

Locations

596 Anderson Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 943-2700

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1629794037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FAYETTE PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103608",
            "telephone_number": "201-334-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FAYETTE PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103608",
            "telephone_number": "201-334-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUCHANSKY",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01383600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.