Individual
AMY CZENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(844) 929-0225
(609) 822-7980
Mailing address
876 WESTMINSTER DR, TOMS RIVER, NJ 08753-4474
(732) 288-0383
(609) 261-7199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NO09756900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2196326000
AMERIHEALTH/KEYSTONE/PC
—
01
—
500017915
RAILROAD MEDICARE
NJ
Enumeration date
11/01/2006
Last updated
03/28/2024
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