ANGELIC PALLIATIVE CARE
NPI 1629565015
Nurse Practitioner - Community Health in Pleasantville, NJ

Q: What is Angelic Palliative Care's NPI number?

The NPI number for Angelic Palliative Care is 1629565015. It was assigned to this organization in the NPPES registry on April 20, 2018.

Q: What is Angelic Palliative Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Active since April 20, 2018

8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232(609) 822-7979(609) 822-7980 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, May 23, 2019, Apr 20, 2018 (3 updates tracked since 2018).

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About Angelic Palliative Care NPPES

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

ANGELIC PALLIATIVE CARE (NPI 1629565015) is a healthcare organization registered as a community health in Pleasantville, New Jersey and active in the NPI registry since April 2018. The organization lists Dan Mikus, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629565015

Entity TypeOrganization

Primary Taxonomy363LC1500X

Legal Business NameANGELIC PALLIATIVE CARE

Location Address8025 BLACK HORSE PIKE STE 501Pleasantville, NJ 08232

Mailing Address8025 Black Horse Pike Ste 501Pleasantville, NJ 08232-2967 · (609) 822-7979 · Fax (609) 822-7980

Phone(609) 822-7979

Fax(609) 822-7980

Organization SubpartNo

Authorized OfficialDan MikusAdministrator · (609) 822-7979

Enumeration DateApril 20, 2018

Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration

NPPES CertifiedAugust 4, 2021

✔ NPI 1629565015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

8025 BLACK HORSE PIKE STE 501, Pleasantville, NJ 08232

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET GIBSON

Nurse Practitioner (Family)