Agile Infusion Medicine PC
Clinic/Center, Primary Care in Hackensack, New Jersey
1972382018- Practice location
- 5 Summit Ave Ste 204, Hackensack, NJ 07601-1271
- Phone
- 201-751-2202
- Fax
- 201-266-0437
- Last updated
- December 6, 2023
Agile Infusion Medicine PC is a healthcare organization based in Hackensack, NJ. Agile Infusion Medicine PC practices in Hackensack, NJ. The NPI Number for Agile Infusion Medicine PC is 1972382018. The current practice location address for Agile Infusion Medicine PC is 5 Summit Ave Ste 204, Hackensack, NJ 07601-1271 and can be reached out via phone at 201-751-2202 and via fax at 201-266-0437.
Provider Profile Details
- NPI Number
- 1972382018
- Provider Name
- Agile Infusion Medicine PC
- Provider Entity Type
- Organization
- Address
- 5 Summit Ave Ste 204, Hackensack, NJ 07601-1271
- Phone Number
- 201-751-2202
- Fax Number
- 201-266-0437
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Jonathan Wiesen, MD · Owner · 631-759-9866
- Provider Enumeration Date
- September 27, 2023
- Last Update Date
- December 6, 2023
- Certification Date
- December 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Summit Ave Ste 204
Hackensack, NJ 07601-1271 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1271
- Phone Number
- 201-751-2202
- Fax Number
- 201-266-0437
Provider Business Mailing Address Details
- Address
- 668 N Forest Dr
Teaneck, NJ 07666-2047 - City
- Teaneck
- State
- NJ
- Zip
- 07666-2047
- Phone Number
- 201-751-2202
License Information
- Taxonomy (1)
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Taxonomy (2)
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Agile Infusion Medicine PC?
The NPI number of Agile Infusion Medicine PC is 1972382018. It was assigned on September 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Agile Infusion Medicine PC?
Agile Infusion Medicine PC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).
Where does Agile Infusion Medicine PC practice?
The practice location is 5 Summit Ave Ste 204, Hackensack, NJ 07601-1271. The office can be reached at 201-751-2202 (phone) or 201-266-0437 (fax).
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 1972382018 directly on the NPPES registry website.