Krystite Care LLC
Nurse Practitioner, Psych/Mental Health in West Orange, New Jersey
1972371888- Practice location
- 640 Eagle Rock Ave Ste 6, West Orange, NJ 07052-2931
- Phone
- 848-801-9248
- Fax
- —
- Last updated
- August 8, 2024
Krystite Care LLC is a healthcare organization based in West Orange, NJ. Krystite Care LLC practices in West Orange, NJ. The NPI Number for Krystite Care LLC is 1972371888. The current practice location address for Krystite Care LLC is 640 Eagle Rock Ave Ste 6, West Orange, NJ 07052-2931 and can be reached out via phone at 848-801-9248.
Provider Profile Details
- NPI Number
- 1972371888
- Provider Name
- Krystite Care LLC
- Provider Entity Type
- Organization
- Address
- 640 Eagle Rock Ave Ste 6, West Orange, NJ 07052-2931
- Phone Number
- 848-801-9248
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Christopher Tikum · Owner/Apn · 848-801-9248
- Provider Enumeration Date
- December 20, 2023
- Last Update Date
- August 8, 2024
- Certification Date
- August 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 640 Eagle Rock Ave Ste 6
West Orange, NJ 07052-2931 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2931
- Phone Number
- 848-801-9248
Provider Business Mailing Address Details
- Address
- 28 Johnson RD
West Orange, NJ 07052-3556 - City
- West Orange
- State
- NJ
- Zip
- 07052-3556
- Phone Number
- 848-801-9248
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Krystite Care LLC?
The NPI number of Krystite Care LLC is 1972371888. It was assigned on December 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Krystite Care LLC?
Krystite Care LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Krystite Care LLC practice?
The practice location is 640 Eagle Rock Ave Ste 6, West Orange, NJ 07052-2931. The office can be reached at 848-801-9248 (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 1972371888 directly on the NPPES registry website.