Individual provider Active NPI

Barbara Wyczesany, NP-C

  • Adult Health Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1639310725
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00183200 Issued in NJ
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shivendra Pandey MD PC CurrentSince May 1, 2015 Accepting new patients
Marek R. Lupicki MD PC PastSince Aug 16, 2004 Accepting new patients
Rehabilitation and Electrodiagnostics Inc PastSince Mar 31, 1998 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.

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

Verify at the official NPI Registry.