Active NPIIndividual providerSole proprietor

Kristina M Waters-Depietro

Nurse Practitioner, Family in Old Tappan, New Jersey

NPI Number1851035125
Practice location
1019 Washington Ave S, Old Tappan, NJ 07675-7209
Fax
—
Last updated
April 6, 2026

Kristina Marie Waters-Depietro is a Nurse Practitioner, Family based in Old Tappan, NJ. Kristina Marie Waters-Depietro practices in Old Tappan, NJ. The NPI Number for Kristina Marie Waters-Depietro is 1851035125 and holds a License No. 349470 (NY). The current practice location address for Kristina Marie Waters-Depietro is 1019 Washington Ave S, Old Tappan, NJ 07675-7209 and can be reached out via phone at 732-266-0072.

Provider Profile Details

NPI Number
1851035125
Provider Name
Kristina Marie Waters-Depietro
Provider Entity Type
Individual
Gender
Female
Address
1019 Washington Ave S, Old Tappan, NJ 07675-7209
Phone Number
732-266-0072
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 23, 2022
Last Update Date
April 6, 2026
Certification Date
April 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1019 Washington Ave S
Old Tappan, NJ 07675-7209
Zip
07675-7209
Phone Number
732-266-0072
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
1019 Washington Ave S
Old Tappan, NJ 07675-7209
City
Old Tappan
State
NJ
Zip
07675-7209
Phone Number
732-266-0072

License Information

License Number
349470
License State
NY
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Kristina M Waters-Depietro?

The NPI number of Kristina M Waters-Depietro is 1851035125. It was assigned on April 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Kristina M Waters-Depietro?

Kristina M Waters-Depietro is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 349470.

Where does Kristina M Waters-Depietro practice?

The practice location is 1019 Washington Ave S, Old Tappan, NJ 07675-7209. The office can be reached at 732-266-0072 (phone).

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 1851035125 directly on the NPPES registry website.

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