Individual provider Active NPI

Derya Elif Kayat

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln Park, NJ
National Provider Identifier
1235999889
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15001800 Issued in NJ
Practice address
15 Skyline Dr
Lincoln Park, NJ 07035-2200
Phone
(862) 221-2783
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 26NJ15001800 NJ Primary

Addresses

Primary practice location

15 Skyline Dr
Lincoln Park, NJ 07035-2200

Mailing address

15 Skyline Dr
Lincoln Park, NJ 07035-2200
Phone (862) 221-2783

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
I20250205000086 NJ Practitioner - Nurse Practitioner 8022548130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15001800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
Hamilton Behavioral MD PA Single Specialty CurrentSince Jan 12, 2026 Accepting new patients
Centra Medical Group, LLC Single Specialty Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

200 Riverfront Blvd
Elmwood Park, NJ 07407
Phone (201) 490-5158

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: deryaelif.kayatapn.p1@direct.cfg.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1235999889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SKYLINE DR",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070352200",
            "telephone_number": "862-221-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SKYLINE DR",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070352200",
            "telephone_number": "862-221-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYAT",
        "first_name": "DERYA ELIF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15001800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

Verify at the official NPI Registry.