Individual provider Active NPI

Sydney Elaine Cwieka, RN, MSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Secaucus, NJ
National Provider Identifier
1689329104
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ01128900 Issued in NJ
Practice address
1 Harmon PLZ FL 10
Secaucus, NJ 07094-2803
Phone
(201) 865-2050
NPI assigned
Feb 14, 2022
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 26NJ01128900 NJ
Pediatric Nurse Practitioner 363LP0200X 26NJ01128900 NJ Primary

Addresses

Primary practice location

1 Harmon PLZ FL 10
Secaucus, NJ 07094-2803

Mailing address

156 13TH St Apt 2
Hoboken, NJ 07030-4437
Phone (706) 831-2152

Other names 1

  • Sydney Elaine Lett Former name

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
I20240228003060 NJ Practitioner - Nurse Practitioner 0244675338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ01128900NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 15, 2024 Accepting new patients
Barnabas Health Medical Group PC Single Specialty CurrentSince Jan 15, 2024 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

166 Lyons Ave
Fl 1
Newark, NJ 07112
Phone (973) 926-7282

201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Organizations & group practices 2

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1689329104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 13TH ST APT 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304437",
            "telephone_number": "706-831-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARMON PLZ FL 10",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942803",
            "telephone_number": "201-865-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CWIEKA",
        "first_name": "SYDNEY",
        "middle_name": "ELAINE",
        "credential": "RN, MSN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "26NJ01128900",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ01128900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "LETT",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.