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Export Provider Record NPI 1124918453
Katherine Wacyk
Active
NPI Number1124918453
NPI TypeNPI-1 Individual
SpecialtyPediatrics, Neonatal-Perinatal Medicine
Provider Details
NPI1124918453
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2025-07-08
Last Updated2025-08-12
Mailing Address1 Federal St Ste 200
Camden, NJ 08103-1088
United States
Phone: (848) 288-6935 | Fax: (732) 790-0107
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Primary Practice Address1 Cooper Plz # 2b
Camden, NJ 08103-1461
United States
Phone: (856) 342-2600
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363LN0005X – Nurse Practitioner, Neonatal, Critical CarePASP033285
No163WN0002X – Registered Nurse, Neonatal Intensive CarePARN693620
Yes2080N0001X – Pediatrics, Neonatal-Perinatal MedicineNJ26NJ15375800
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About NPI 1124918453

Katherine Wacyk is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124918453. The primary specialty listed is Pediatrics, Neonatal-Perinatal Medicine. The provider is located in Camden, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2025-07-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124918453?

NPI 1124918453 belongs to Katherine Wacyk, a Pediatrics, Neonatal-Perinatal Medicine in Camden, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124918453 active?

The current status of NPI 1124918453 in the NPPES registry is Active. The record was last updated on 2025-08-12.

What specialty is NPI 1124918453?

NPI 1124918453 is classified under the taxonomy Pediatrics, Neonatal-Perinatal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124918453?

You can verify NPI 1124918453 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124918453?

The primary practice address on file for NPI 1124918453 is 1 Cooper Plz # 2b, Camden, NJ 08103-1461. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124918453 issued?

NPI 1124918453 was first issued (enumerated) on 2025-07-08. The NPPES record was last updated on 2025-08-12.

Practice Location Map

Katherine Wacyk is located at 1 Cooper Plz # 2b, Camden, NJ. Use the map below to find directions or verify the practice location.

📍 1 Cooper Plz # 2b, Camden, NJ 08103-1461  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Katherine Wacyk. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124918453. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Neonatal, Critical CareSP033285PA
Registered Nurse, Neonatal Intensive CareRN693620PA
Pediatrics, Neonatal-Perinatal Medicine26NJ15375800NJ
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162