Individual provider Active NPI

Irena Cycylia Janiec-Zito, APN

  • Family Nurse Practitioner
  • Upper Saddle River, NJ
National Provider Identifier
1720756331
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01152000 Issued in NJ
Practice address
563 W Saddle River Rd
Upper Saddle River, NJ 07458-1112
Phone
(201) 966-9086
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 26NJ01152000 NJ Primary

Addresses

Primary practice location

563 W Saddle River Rd
Upper Saddle River, NJ 07458-1112

Mailing address

563 W Saddle River Rd
Upper Saddle River, NJ 07458-1112
Phone (201) 966-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01152000NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1720756331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 W SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581112",
            "telephone_number": "201-966-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 W SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581112",
            "telephone_number": "201-966-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIEC-ZITO",
        "first_name": "IRENA",
        "middle_name": "CYCYLIA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01152000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.