NICHOLE LARYSZ
NPI 1063278992
Nurse Practitioner - Family in Fair Lawn, NJ
About Nichole Larysz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE LARYSZ (NPI 1063278992) is an individual family provider in Fair Lawn, New Jersey, licensed in New Jersey (26NJ15010800) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nichole Larysz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nichole Larysz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 849 clinicians in this Medicare group
Jersey City, NJ 07306
- Reassigned Medicare billing, New Jersey enrollment
- 121 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nichole Larysz's NPI number?
The NPI number for Nichole Larysz is 1063278992. It was assigned to this individual provider in the NPPES registry on February 27, 2024.
Where is Nichole Larysz located?
Nichole Larysz practices at 5-15 Hartley Pl, Fair Lawn, NJ 07410. The listed phone number is (551) 795-6223.
What is Nichole Larysz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nichole Larysz enrolled in Medicare?
Yes. Nichole Larysz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nichole Larysz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Larysz reassigns Medicare benefits to 2 organizations: Medical Associates Of Englewood, PC (Englewood, NJ) and Physician Partners Of Englewood, PC (Jersey City, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nichole Larysz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichole Larysz accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nichole Larysz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nichole Larysz affiliated with any hospitals?
According to CMS data, Nichole Larysz is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Nichole Larysz was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nichole Larysz · NPI 1063278992
Family physician in Fair Lawn, New Jersey. Individual provider, active in the CMS NPPES registry since February 27, 2024.
## Identity
- **NPI:** 1063278992 (Entity type: Individual)
- **Enumerated:** February 27, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15010800 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5-15 HARTLEY PL, Fair Lawn, NJ 07410-3023
- **Phone:** (551) 795-6223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Associates Of Englewood, PC (NPI 1952681918, Englewood, NJ); Physician Partners Of Englewood, PC (NPI 1154671501, Jersey City, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063278992) · Data from the CMS NPPES public registry.