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AGILE INFUSION MEDICINE PC
NPI 1972382018
Clinic/Center - Primary Care in Hackensack, NJ

Active since September 27, 2023
5 SUMMIT AVE STE 204, HACKENSACK, NJ 07601(201) 751-2202(201) 266-0437 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2023, Oct 4, 2023 (2 updates tracked since 2023).

About Agile Infusion Medicine Pc NPPES

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

AGILE INFUSION MEDICINE PC (NPI 1972382018) is a healthcare organization registered as a primary care in Hackensack, New Jersey and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Teaneck and lists Jonathan Wiesen, Owner, as its authorized official.

NPPES Registry Identity

NPI1972382018
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAGILE INFUSION MEDICINE PC
Location Address5 SUMMIT AVE STE 204Hackensack, NJ 07601-1271
Mailing Address668 N Forest DrTeaneck, NJ 07666-2047 · (201) 751-2202
Phone(201) 751-2202
Fax(201) 266-0437
Organization SubpartNo
Authorized OfficialJonathan WiesenOwner · (631) 759-9866
Enumeration DateSeptember 27, 2023
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1972382018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
5 SUMMIT AVE STE 204, Hackensack, NJ 07601
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Secondary Practice Location 1

Location 1668 N Forest DrTeaneck, NJ 07666-2047 · Phone (631) 759-9866

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agile Infusion Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Agile Infusion Medicine PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jonathan Wiesen, M.D.
Pulmonary Disease
NPI 1912149006
600 GRESHAM DR STE 8630B
Norfolk, VA 23507
(757) 388-6115
✔ PECOS✔ Accepts Medicare303 mi
David Kupferberg, MD
Pulmonary Disease
NPI 1548329295
667 EASTLAND AVE SE
Warren, OH 44484
(330) 841-4034
✔ PECOS✔ Accepts Medicare352 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Agile Infusion Medicine PC's NPI number?

The NPI number for Agile Infusion Medicine PC is 1972382018. It was assigned to this organization in the NPPES registry on September 27, 2023.

Where is Agile Infusion Medicine PC located?

Agile Infusion Medicine PC is located at 5 Summit Ave Ste 204, Hackensack, NJ 07601. The listed phone number is (201) 751-2202.

What is Agile Infusion Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Agile Infusion Medicine PC enrolled in Medicare?

Yes. Agile Infusion Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agile Infusion Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pulmonary Disease, reassign their Medicare billing to Agile Infusion Medicine PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agile Infusion Medicine PC was last updated on December 6, 2023. 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.