Individual provider Active NPI

Jeffrey Krupa, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, NJ
National Provider Identifier
1215646724
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01400100 Issued in NJ
Practice address
492 Route 57 W
Washington, NJ 07882-4411
Phone
(908) 689-1000
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01400100 NJ Primary

Addresses

Primary practice location

492 Route 57 W
Washington, NJ 07882-4411

Mailing address

492 Route 57 W
Washington, NJ 07882-4411

Other practice location 1

108 Bilby Rd Ste 302
Hackettstown, NJ 07840-4174
Phone (908) 852-0333

Other practice location 2

370 Memorial Pkwy
Phillipsburg, NJ 08865-1580
Phone (908) 454-4470

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
I20230111001831 NJ Practitioner - Nurse Practitioner 6406226208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Family Services IncGroup PAC ID 8820072432, 15 clinicians

Practice addresses (Care Compare)

108 Bilby Rd
Suite 302
Hackettstown, NJ 07840-4174
Phone (908) 852-0333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01400100NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Services, Inc. CurrentSince Jun 11, 2023 Accepting new patients
Family Guidance Center of Warren County CurrentSince Nov 23, 2022 Accepting new patients
Center for Family Services, Inc. Current Accepting new patients
Center for Family Services, Inc. CurrentSince Jun 11, 2023 Accepting new patients

Locations

584 Benson St
Camden, NJ 08103
Phone (877) 922-2377

108 Bilby Rd
Ste 302
Hackettstown, NJ 07840
Phone (908) 852-0333

370 Memorial Pkwy
Phillipsburg, NJ 08865
Phone (908) 454-4470

1 Alpha Ave
Voorhees, NJ 08043
Phone (856) 651-7553

492 State Route 57 W
Washington, NJ 07882
Phone (908) 689-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1215646724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Bilby Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078404174",
            "country_code": "US",
            "telephone_number": "908-852-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088651580",
            "country_code": "US",
            "telephone_number": "908-454-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "JEFFREY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01400100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.