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

Nichole Larysz

Individual provider Family Nurse Practitioner · NPI 1063278992

Nichole Larysz is a Nurse Practitioner in Fair Lawn, New Jersey. Qualified in 2023, 3 years ago. Practices with Physician Partners of Englewood PC, a 95-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
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Practice location Address checks out

5-15 Hartley Pl
Fair Lawn, NJ 07410-3023
Phone: (551) 795-6223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15010800 (NJ)

Record details

NPI number1063278992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address5-15 Hartley Pl, Fair Lawn, NJ 07410-3023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Partners Of Englewood Pc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fair Lawn