Cassandra Lee Konecny, NP
Individual provider Active NPI Nurse Practitioner · Green Brook, NJ
NPI 1881243665 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1881243665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00922500 (NJ)
- Practice address
- 326 US Highway 22 Ste 10B
Green Brook, NJ 08812-1713 - Phone
- (732) 624-9797
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician'S Weightloss, PC | Single Specialty | Past |
Accepting new patients |
| Bridgewater Health Associates | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 26NJ00922500 | NJ | Yes |
Addresses
Primary practice location
326 US Highway 22 Ste 10B
Green Brook, NJ 08812-1713
Mailing address
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
Other providers in Green Brook, NJ
- Robert S Jenco
- John D.Pilla MD PA
- Arielle Kaluski
- Suzan Y Khalil
- Tae-Woo Kim
- Brian R Kwiatkowski
- Stephane Myrtele Laguerre
- Ashley L Lake
- Annmarie R Lambert
- Yu-Ping Lee
All providers in Green Brook, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.