Individual provider Active NPI

Agata Patrycja Kraszewska, FNP-C

  • Family Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1679086805
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00786700 Issued in NJ
Practice address
773 Route 70 E Ste E125
Marlton, NJ 08053
Phone
(856) 475-0876
Fax
(856) 872-7636
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 26NJ00786700 NJ Primary

Addresses

Primary practice location

773 Route 70 E Ste E125
Marlton, NJ 08053

Mailing address

773 Route 70 E Ste E125
Marlton, NJ 08053-2364
Phone (856) 890-7200

Other practice location 1

100 Federal City Rd
Lawrenceville, NJ 08648-1664
Phone (609) 620-1380

Other practice location 2

100 Federal City Rd
Lawrenceville, NJ 08648-1664
Phone (609) 620-1380

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
I20190408001763 NJ Practitioner - Nurse Practitioner 2264773811 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noah Lindenberg PC CurrentSince Apr 1, 2019 Accepting new patients

Locations

773 Route 70 E
Ste E125
Marlton, NJ 08053
Phone (856) 890-7200

Interoperability endpoints

  • Direct secure messaging: agata.kraszewska@lindenbergcancer.ikm.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1679086805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ROUTE 70 E STE E125",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532364",
            "telephone_number": "856-890-7200",
            "fax_number": "856-872-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ROUTE 70 E STE E125",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-475-0876",
            "fax_number": "856-872-7636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Federal City Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086481664",
            "country_code": "US",
            "telephone_number": "609-620-1380",
            "fax_number": "609-771-8991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Federal City Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086481664",
            "country_code": "US",
            "telephone_number": "609-620-1380",
            "fax_number": "609-771-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRASZEWSKA",
        "first_name": "AGATA",
        "middle_name": "PATRYCJA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00786700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.