Provider Demographics
NPI:1245553288
Name:CHOJNACKI, AMY LOVE (NP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LOVE
Last Name:CHOJNACKI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-2426
Mailing Address - Country:US
Mailing Address - Phone:609-744-9577
Mailing Address - Fax:
Practice Address - Street 1:640 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-9602
Practice Address - Country:US
Practice Address - Phone:609-567-9003
Practice Address - Fax:858-373-2489
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00280100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health