Active NPIIndividual provider

Michelle Penczuk, APN

Nurse Practitioner, Family in Long Branch, New Jersey

NPI Number1801446901
Practice location
300 2ND Ave, Long Branch, NJ 07740-6303
Fax
—
Last updated
October 15, 2026

Michelle Penczuk is a Nurse Practitioner, Family based in Long Branch, NJ. Michelle Penczuk practices in Long Branch, NJ and has the professional credentials of APN. The NPI Number for Michelle Penczuk is 1801446901 and holds a License No. 26NJ00964100 (NJ). The current practice location address for Michelle Penczuk is 300 2ND Ave, Long Branch, NJ 07740-6303 and can be reached out via phone at 732-923-7790.

Provider Profile Details

NPI Number
1801446901
Provider Name
Michelle Penczuk
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
300 2ND Ave, Long Branch, NJ 07740-6303
Phone Number
732-923-7790
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2019
Last Update Date
October 15, 2026
Certification Date
October 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 2ND Ave
Long Branch, NJ 07740-6303
Zip
07740-6303
Phone Number
732-923-7790
Long Branch, NJ 07740Get directions →

Provider Business Mailing Address Details

Address
300 2ND Ave
Long Branch, NJ 07740-6303
City
Long Branch
State
NJ
Zip
07740-6303

License Information

License Number
26NJ00964100
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Penczuk, APN?

The NPI number of Michelle Penczuk, APN is 1801446901. It was assigned on September 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Michelle Penczuk, APN?

Michelle Penczuk, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00964100.

Where does Michelle Penczuk, APN practice?

The practice location is 300 2ND Ave, Long Branch, NJ 07740-6303. The office can be reached at 732-923-7790 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801446901 directly on the NPPES registry website.

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