Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dirksen J. Taguiam, MSN, APN-C

Individual provider Nurse Practitioner · NPI 1639640790

Dirksen J. Taguiam, MSN, APN-C is a Nurse Practitioner in Brick, New Jersey. Qualified in 2018, 8 years ago. Practices with Northeast Kidney Care LLC, a 66-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2018
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

210 Jack Martin Blvd Ste D-1
Brick, NJ 08724-7771
Phone: (732) 458-5854
Fax: (732) 458-8012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00885000 (NJ)

Record details

NPI number1639640790
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , APN-C
Sole proprietorYes
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northeast Kidney Care Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients164
Services billed 487 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Northeast Kidney Care LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 66 clinicians in the practice; 12 are shown here.

Other providers in Brick