Active NPI
Barbara Wyczesany, NP-C
- Adult Health Nurse Practitioner
- Old Bridge, NJ
National Provider Identifier
1639310725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00183200
- Practice address
- 200 Perrine Rd
Suite 211
Old Bridge, NJ 08857-2842 - Phone
- (732) 553-1000
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00183200 | NJ | Primary |
Addresses
Primary practice location
200 Perrine Rd
Suite 211
Old Bridge, NJ 08857-2842
Mailing address
1008 Aumack Rd
Jackson, NJ 08527-1389
Phone (732) 942-8530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shivendra Pandey MD PC | Current | Accepting new patients | |
| Marek R. Lupicki MD PC | Past | Accepting new patients | |
| Rehabilitation and Electrodiagnostics Inc | Past | Accepting new patients |
Locations
2640 Highway 70
Ste 101B
Manasquan, NJ 08736
Phone (732) 223-0008
Organizations & group practices 3
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.
-
- Nephrology Physician
- Manasquan, NJ
- NPI 1730413550
-
- General Practice Physician
- Old Bridge, NJ
- NPI 1053560128
-
- Specialist
- Old Bridge, NJ
- NPI 1083915607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1639310725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 AUMACK RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271389",
"telephone_number": "732-942-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PERRINE RD",
"address_2": "SUITE 211",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572842",
"telephone_number": "732-553-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCZESANY",
"first_name": "BARBARA",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00183200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.