Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Nguyen, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1245796374

Kaitlyn Nguyen, AGACNP-BC is a Nurse Practitioner in Hackensack, New Jersey. Qualified in 2018, 8 years ago. Practices with Hackensack Surgery and Wound Care LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5 Summit Ave Ste 105
Hackensack, NJ 07601-1271
Phone: (201) 880-8072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Summit Ave Ste 105, Hackensack, NJ 07601-1271 — (201) 880-8072

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ00901200 (NJ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ00901200 (NJ)

Record details

NPI number1245796374
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 13, 2019
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hackensack Surgery And Wound Care Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hackensack