Individual provider Active NPI

Grazyna Sulewska, AGNP

  • Adult Health Nurse Practitioner
  • Sea Girt, NJ
National Provider Identifier
1922768340
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG11210025 Issued in NJ
Practice address
2170 Bernadette CT
Sea Girt, NJ 08750-2217
Phone
(134) 730-3961
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG11210025 NJ Primary

Addresses

Primary practice location

2170 Bernadette CT
Sea Girt, NJ 08750-2217

Mailing address

2170 Bernadette CT
Sea Girt, NJ 08750-2217
Phone (134) 730-3961

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
I20231227003376 NJ Practitioner - Nurse Practitioner 8729438130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Senior Care LLCGroup PAC ID 4880198613, 11 clinicians
Atlas Medical Care,LLCGroup PAC ID 5597926659, 9 clinicians

Practice addresses (Care Compare)

1001 W Main St
Suite a
Freehold, NJ 07728-2579
Phone (732) 637-8444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG11210025NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Senior Care LLC CurrentSince Nov 1, 2025 Accepting new patients
Atlas Medical Care,LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

1001 W Main St
Ste A
Freehold, NJ 07728
Phone (732) 354-3792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1922768340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 BERNADETTE CT",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502217",
            "telephone_number": "134-730-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 BERNADETTE CT",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502217",
            "telephone_number": "134-730-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEWSKA",
        "first_name": "GRAZYNA",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "AG11210025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

Verify at the official NPI Registry.