Patricia Konstantaros, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00594000 Issued in NJ

Practice address

110 Grove Ave
Cedar Grove, NJ 07009-1436

Phone

(862) 214-3786

NPI assigned

Oct 3, 2015

Last updated

May 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Medical of NJGroup PAC ID 1456795772, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  Medicare reassignment Care Compare group
• Health & Spine Wellness Center

  • Nurse Practitioner
  • Belleville, NJ
  • NPI 1790354744
  Medicare reassignment NPD
• Subacute Medical Associates

  • Internal Medicine Physician
  • Cedar Grove, NJ
  • NPI 1245607076
  Medicare reassignment NPD
• Jeffrey Steven Aronoff MD PC

  • Colon & Rectal Surgery Physician
  • New York, NY
  • NPI 1104098201
  NPD

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1114397072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GROVE AVENUE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092834",
            "telephone_number": "973-571-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "862-214-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTAROS",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00594000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Khouzam, PHARM D
• Tara Brooke Kiernan
• Chang Nam Kim, M.D.
• Annie Elizabeth Klinger, P.T.
• Mary E Ko, DPT
• Dandee Rey Lacuesta
• Gina Maria Laporta, DC
• Sheryl M Larner, EDD
• Danielle M Lay
• Angie Lee, MD

• Family Nurse Practitioner in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.