Active NPIIndividual provider

Mrs. Kerri Elmendorf

Nurse Practitioner, Pediatrics in Hackensack, New Jersey

NPI Number1275241853
Practice location
30 Prospect Ave, Hackensack, NJ 07601-1915
Fax
551-996-0859
Last updated
November 11, 2022

Kerri Elmendorf is a Nurse Practitioner, Pediatrics based in Hackensack, NJ. Kerri Elmendorf practices in Hackensack, NJ. The NPI Number for Kerri Elmendorf is 1275241853 and holds a License No. 26NJ01026200 (NJ). The current practice location address for Kerri Elmendorf is 30 Prospect Ave, Hackensack, NJ 07601-1915 and can be reached out via phone at 551-996-2000 and via fax at 551-996-0859.

Provider Profile Details

NPI Number
1275241853
Provider Name
Kerri Elmendorf
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ 07601-1915
Phone Number
551-996-2000
Fax Number
551-996-0859
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
November 11, 2022
Last Update Date
November 11, 2022
Certification Date
November 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Prospect Ave
Hackensack, NJ 07601-1915
Zip
07601-1915
Phone Number
551-996-2000
Fax Number
551-996-0859
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
510 Western Hwy
Blauvelt, NY 10913-2011
City
Blauvelt
State
NY
Zip
10913-2011
Phone Number
845-323-9289

License Information

License Number
26NJ01026200
License State
NJ
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kerri Elmendorf?

The NPI number of Mrs. Kerri Elmendorf is 1275241853. It was assigned on November 11, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kerri Elmendorf?

Mrs. Kerri Elmendorf is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NJ under license number 26NJ01026200.

Where does Mrs. Kerri Elmendorf practice?

The practice location is 30 Prospect Ave, Hackensack, NJ 07601-1915. The office can be reached at 551-996-2000 (phone) or 551-996-0859 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275241853 directly on the NPPES registry website.

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