DR. KATHLEEN ANNE FAGAN DNSC, RN, BC, APN
NPI 1386974517
Nurse Practitioner - Women's Health in Hackensack, NJ

Active since January 11, 2010
241 MOORE ST, HACKENSACK, NJ 07601(201) 342-2478 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Anne Fagan Dnsc, Rn, Bc, Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN ANNE FAGAN DNSC, RN, BC, APN (NPI 1386974517) is an individual women's health provider in Hackensack, New Jersey, licensed in New Jersey (26NN09492700) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1386974517
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameDR. KATHLEEN ANNE FAGANCredential: DNSC, RN, BC, APN
Location Address241 MOORE STHackensack, NJ 07601-7533
Mailing Address188 Deerfield TerMahwah, NJ 07430-2853 · (210) 694-7920 · Fax (201) 934-6691
Sole ProprietorNo
Enumeration DateJanuary 11, 2010
NPI 1386974517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NJ · 26NN09492700
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 26NN09492700 (NJ)
241 MOORE ST, Hackensack, NJ 07601

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 Kathleen Fagan's NPI number?

The NPI number for Kathleen Fagan is 1386974517. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Kathleen Fagan located?

Kathleen Fagan practices at 241 Moore St, Hackensack, NJ 07601. The listed phone number is (201) 342-2478.

What is Kathleen Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kathleen Fagan was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.