OrganizationActive
Agile Infusion Medicine PC
NPI 1972382018 · Primary Care Clinic/Center · Hackensack, NJ
Provider details
- NPI number
- 1972382018
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jonathan Wiesen, Owner
Practice location
5 Summit Ave Ste 204
Hackensack, NJ 07601-1271
Phone: (201) 751-2202
Fax: (201) 266-0437
Mailing address
668 N Forest Dr
Teaneck, NJ 07666-2047
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2023-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.