Individual provider Active NPI

Daria Nowosielecki, APN

  • Primary Care Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1922880897
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ14929100 Issued in NJ
Practice address
290 Madison Ave Ste 3a
Morristown, NJ 07960-7401
Phone
(973) 590-2448
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ14929100 NJ Primary

Addresses

Primary practice location

290 Madison Ave Ste 3a
Morristown, NJ 07960-7401

Mailing address

5 Raven Rd
Montvale, NJ 07645-2545
Phone (201) 835-8526

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
I20231222000540 NJ Practitioner - Nurse Practitioner 7214387828 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14929100NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Wellness CurrentSince Oct 22, 2023 Accepting new patients
Medassist NJ II CurrentSince Nov 4, 2023 Accepting new patients
Angelo del Priore DPM PastSince Oct 22, 2023 Accepting new patients

Locations

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

290 Madison Ave
Ste 3A
Morristown, NJ 07960
Phone (973) 590-2448

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

747 Chestnut Ridge Rd
Spring Valley, NY 10977
Phone (845) 377-6670

Organizations & group practices 3

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1922880897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RAVEN RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452545",
            "telephone_number": "201-835-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE STE 3A",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607401",
            "telephone_number": "973-590-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWOSIELECKI",
        "first_name": "DARIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ14929100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.