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

Katherine Wacyk

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1124918453

Katherine Wacyk is a Nurse Practitioner in Camden, New Jersey. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Years since qualifying
1
Licensed in
NJ, PA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

1 Cooper Plz # 2B
Camden, NJ 08103-1461
Phone: (856) 342-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 E Erie Ave, Philadelphia, PA 19134-1011 — (267) 664-3126

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 26NJ15375800 (NJ)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence SP033285 (PA)
Neonatal Intensive Care Registered Nurse Taxonomy 163WN0002X · Licence RN693620 (PA)

Record details

NPI number1124918453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address1 Federal St Ste 200, Camden, NJ 08103-1088

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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