Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addi Michelle Georgantzis

Individual provider Adult Health Nurse Practitioner · NPI 1083280317

Addi Michelle Georgantzis is a Nurse Practitioner in Englewood, New Jersey. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

350 Engle St
Englewood, NJ 07631-1808
Phone: (201) 894-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 92 2nd St, Hackensack, NJ 07601-2191 — (551) 996-8297

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ01110300 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F309828 (NY)

Record details

NPI number1083280317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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