Individual provider Active NPI

Agnicha Muzeau

  • Family Nurse Practitioner
  • Springfield, NJ
National Provider Identifier
1679767198
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00135100 Issued in NJ
Practice address
178 Morris Ave
Springfield, NJ 07081
Phone
(862) 224-0893
Fax
(612) 659-7101
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 26NJ00135100 NJ Primary

Addresses

Primary practice location

178 Morris Ave
Springfield, NJ 07081

Mailing address

178 Morris Ave
Springfield, NJ 07052
Phone (862) 224-0893

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
I20080411000421 NJ Practitioner - Nurse Practitioner 7517044761 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Browne Medical LLCGroup PAC ID 9032347281, 19 clinicians

Practice addresses (Care Compare)

480 Pompton Ave
Suite 6
Cedar Grove, NJ 07009-1820
Phone (973) 239-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00135100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Feb 1, 2017 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Apr 10, 2017 Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Sep 1, 2018 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Mar 15, 2017 Accepting new patients
Browne Medical, LLC CurrentSince Sep 1, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Sep 1, 2023 Accepting new patients

Locations

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

480 Pompton Ave
Ste 6
Cedar Grove, NJ 07009
Phone (973) 239-2300

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • Direct secure messaging: agnicha.muzeau@immcarenj.directbygreenway.com

Organizations & group practices 8

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1679767198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "862-224-0893",
            "fax_number": "612-659-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "862-224-0893",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZEAU",
        "first_name": "AGNICHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00135100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.