Active NPIIndividual providerSole proprietor

Agnieszka Dziubak

Nurse Practitioner, Gerontology in Freehold, New Jersey

NPI Number1962228429
Practice location
325 Stevens Way, Freehold, NJ 07728-5359
Fax
—
Last updated
December 2, 2024

Agnieszka Dziubak is a Nurse Practitioner, Gerontology based in Freehold, NJ. Agnieszka Dziubak practices in Freehold, NJ. The NPI Number for Agnieszka Dziubak is 1962228429 and holds a License No. 26nj15213900 (NJ). The current practice location address for Agnieszka Dziubak is 325 Stevens Way, Freehold, NJ 07728-5359 and can be reached out via phone at 908-967-9039.

Provider Profile Details

NPI Number
1962228429
Provider Name
Agnieszka Dziubak
Provider Entity Type
Individual
Gender
Female
Address
325 Stevens Way, Freehold, NJ 07728-5359
Phone Number
908-967-9039
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2024
Last Update Date
December 2, 2024
Certification Date
December 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Stevens Way
Freehold, NJ 07728-5359
Zip
07728-5359
Phone Number
908-967-9039
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
325 Stevens Way
Freehold, NJ 07728-5359
City
Freehold
State
NJ
Zip
07728-5359
Phone Number
908-967-9039

License Information

License Number
26nj15213900
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · 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 Agnieszka Dziubak?

The NPI number of Agnieszka Dziubak is 1962228429. It was assigned on December 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Agnieszka Dziubak?

Agnieszka Dziubak is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26nj15213900.

Where does Agnieszka Dziubak practice?

The practice location is 325 Stevens Way, Freehold, NJ 07728-5359. The office can be reached at 908-967-9039 (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 1962228429 directly on the NPPES registry website.

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