AGNIESZKA DZIUBAK
NPI 1962228429
Nurse Practitioner - Gerontology in Freehold, NJ
About Agnieszka Dziubak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGNIESZKA DZIUBAK (NPI 1962228429) is an individual gerontology provider in Freehold, New Jersey, licensed in New Jersey (26NJ15213900) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Centrastate Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Agnieszka Dziubak 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
4Medicare enrollment records show Agnieszka Dziubak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 13 clinicians in this Medicare group
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Manalapan, NJ 07726
- Reassigned Medicare billing, New Jersey enrollment
- 11 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.
Centrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07728 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 Agnieszka Dziubak's NPI number?
The NPI number for Agnieszka Dziubak is 1962228429. It was assigned to this individual provider in the NPPES registry on December 2, 2024.
Where is Agnieszka Dziubak located?
Agnieszka Dziubak practices at 325 Stevens Way, Freehold, NJ 07728. The listed phone number is (908) 967-9039.
What is Agnieszka Dziubak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Agnieszka Dziubak enrolled in Medicare?
Yes. Agnieszka Dziubak 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 Agnieszka Dziubak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agnieszka Dziubak reassigns Medicare benefits to 4 organizations: Rgohel LLC (Freehold, NJ), Atlas Medical Care,llc (Freehold, NJ), Atlas Senior Care LLC (Freehold, NJ) and Rekha Gohel MD LLC (Manalapan, 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 Agnieszka Dziubak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Agnieszka Dziubak affiliated with any hospitals?
According to CMS data, Agnieszka Dziubak is affiliated with Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Agnieszka Dziubak was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Agnieszka Dziubak · NPI 1962228429
Gerontology physician in Freehold, New Jersey. Individual provider, active in the CMS NPPES registry since December 2, 2024.
## Identity
- **NPI:** 1962228429 (Entity type: Individual)
- **Enumerated:** December 2, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ15213900 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 325 STEVENS WAY, Freehold, NJ 07728-5359
- **Phone:** (908) 967-9039
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Rgohel LLC (NPI 1902388960, Freehold, NJ); Atlas Medical Care,llc (NPI 1689951592, Freehold, NJ); Atlas Senior Care LLC (NPI 1144112772, Freehold, NJ); Rekha Gohel MD LLC (NPI 1912352642, Manalapan, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** December 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962228429) · Data from the CMS NPPES public registry.