Individual provider Active NPI

Elaine Mary Kunigonis, APN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Cape May Court House, NJ
National Provider Identifier
1043345143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
26NJ00076300 Issued in NJ
Practice address
128 Crest Haven Rd
Cape May Court House, NJ 08210
Phone
(609) 465-4100
Fax
(609) 465-7751
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 26NJ00076300 NJ Primary

Addresses

Primary practice location

128 Crest Haven Rd
Cape May Court House, NJ 08210

Mailing address

209 Laguna Dr
Egg Harbor Twnsp, NJ 08234-7730
Phone (609) 653-4286

Other identifiers 1

IdentifierTypeStateIssuer
0032603MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000896 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 5496794471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
26NJ00076300NJMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Acenda, Inc. CurrentSince Nov 12, 2019 Accepting new patients
Neuropsychiatric Associates, PC PastSince May 1, 1990 Accepting new patients

Locations

128 Crest Haven Rd
Cape May Court House, NJ 08210
Phone (609) 465-4100

42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043345143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LAGUNA DR",
            "city": "EGG HARBOR TWNSP",
            "state": "NJ",
            "postal_code": "082347730",
            "telephone_number": "609-653-4286",
            "fax_number": "609-653-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CREST HAVEN RD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-465-4100",
            "fax_number": "609-465-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIGONIS",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NJ00076300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.