Active NPI
Ketnie V Aristide
- Psychiatric/Mental Health Nurse Practitioner
- Hoboken, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01454100
- Practice address
- 221 River St Ste 9
Hoboken, NJ 07030-5990 - Phone
- (201) 308-8252
- NPI assigned
- May 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01454100 | NJ | Primary |
| Registered Nurse | 163W00000X | 7588191 | NY |
Addresses
Primary practice location
221 River St Ste 9
Hoboken, NJ 07030-5990
Mailing address
170 William St
New York, NY 10038-2612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230406000314 | NJ | Practitioner - Nurse Practitioner | 6103291075 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7588191 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Aldad Medical NJ, P.C | Current | Accepting new patients | |
| Wagner Medical PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229
221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
NJ
-
- Clinical Social Worker
- Toms River, NJ
- NPI 1235951187
NJ, Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1003471293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 WILLIAM ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 RIVER ST STE 9",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305990",
"telephone_number": "201-308-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISTIDE",
"first_name": "KETNIE",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01454100",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "7588191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.