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MEGAN BLACK AGNP
NPI 1649985912
Nurse Practitioner - Gerontology in Summit, NJ

Active since January 20, 2023
331 SPRINGFIELD AVE, SUMMIT, NJ 07901(908) 777-8782 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Jan 20, 2023 (2 updates tracked since 2023).

About Megan Black Agnp NPPES

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

MEGAN BLACK AGNP (NPI 1649985912) is an individual gerontology provider in Summit, New Jersey, licensed in New Jersey (AG12220001) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1649985912
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMEGAN BLACKCredential: AGNP
Location Address331 SPRINGFIELD AVESummit, NJ 07901-3626
Mailing Address25 Marjaleen DrRandolph, NJ 07869-3411 · (201) 741-3881
Phone(908) 777-8782
Sole ProprietorNo
Enumeration DateJanuary 20, 2023
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1649985912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · AG12220001
331 SPRINGFIELD AVE, Summit, NJ 07901
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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 Megan Black's NPI number?

The NPI number for Megan Black is 1649985912. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Megan Black located?

Megan Black practices at 331 Springfield Ave, Summit, NJ 07901. The listed phone number is (908) 777-8782.

What is Megan Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Megan Black was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.