Khristine Gail Vendiola, APN-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00618200 Issued in NJ

Practice address

224 Hamburg Tpke RM 4023
Wayne, NJ 07470-2149

Phone

(973) 956-3357

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Acute Care Specialists PCGroup PAC ID 9234303082, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Massachusetts Acute Care Specialists PC

  • Internal Medicine Physician
  • Melrose, MA
  • NPI 1306134812
  Medicare reassignment Care Compare group
• Life Choice Hospice of Southern Massachusetts LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • North Andover, MA
  • NPI 1073138640
  Medicare reassignment NPD

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1083086334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HAMBURG TPKE RM 4023",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702149",
            "telephone_number": "973-956-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HAMBURG TPKE RM 4023",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702149",
            "telephone_number": "973-956-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDIOLA",
        "first_name": "KHRISTINE",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00618200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Avion Vassel, PMHNP-BC
• Veinprorx PC
• Velcor Consulting Corp.
• Alexus Velez-Cortes, RVS, RPHS, VA-BC
• Boemboy M Vendiola
• Anthony M Ventimiglia, MD
• Lauren Ventura, LCSW, LCADC
• Michelle Veron, LSW
• Vertical Physical Therapy L.L.C.
• Vibrant Vision, Inc

• Primary Care Nurse Practitioner in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.