Individual provider Active NPI

Urszula Poweska, APN

  • Nurse Practitioner
  • Wallington, NJ
National Provider Identifier
1811375710
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00568500 Issued in NJ
Practice address
7 Van Dyke St
Wallington, NJ 07057-2214
Phone
(201) 951-4820
NPI assigned
May 12, 2015
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00568500 NJ Primary

Addresses

Primary practice location

7 Van Dyke St
Wallington, NJ 07057-2214

Mailing address

7 Van Dyke St
Wallington, NJ 07057-2214
Phone (201) 951-4820

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
I20150930000191 NJ Practitioner - Nurse Practitioner 9931417649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 102
Clifton, NJ 07013-3517
Phone (973) 777-2005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00568500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys General Medical Group PC CurrentSince Jul 21, 2024 Accepting new patients
Clifton-Wallington Medical Group CurrentSince Jun 20, 2015 Accepting new patients

Locations

1033 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 777-2005

1033 Clifton Ave
Ste 210
Clifton, NJ 07013
Phone (973) 473-4400

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

60 Main Ave
Wallington, NJ 07057
Phone (973) 471-3555

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1811375710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VAN DYKE ST",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070572214",
            "telephone_number": "201-951-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VAN DYKE ST",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070572214",
            "telephone_number": "201-951-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWESKA",
        "first_name": "URSZULA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00568500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallington, NJ

Sources for this page

Verify at the official NPI Registry.