Kaitlyn Nguyen, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00901200 Issued in NJ

Practice address

5 Summit Ave Ste 105
Hackensack, NJ 07601-1271

Phone

(201) 880-8072

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Surgery and Wound Care LLCGroup PAC ID 3779974274, 9 clinicians

Saraswati D Dayal MD LLCGroup PAC ID 7911083613, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcarpenter263327@ahs.direct-ci.com

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.

• Hackensack Surgery and Wound Care LLC

  • Surgery Physician
  • Hackensack, NJ
  • NPI 1326640806
  Medicare reassignment Care Compare group NPD
• Saraswati D. Dayal, MD, LLC

  • Surgery Physician
  • Hackensack, NJ
  • NPI 1174700561
  Medicare reassignment Care Compare group NPD
• Gary D. Schwartz, MD PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1598967028
  NPD (past)

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

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation
• Pascack Valley Hospital LLC

  • General Acute Care Hospital
  • Westwood, NJ
  • NPI 1205176062
  Care Compare affiliation

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1245796374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GATES AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052409",
            "telephone_number": "610-428-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVE STE 105",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011271",
            "telephone_number": "201-880-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Summit Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011271",
            "country_code": "US",
            "telephone_number": "201-880-8072 x303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KAITLYN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00901200",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00901200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nextstep Developmental Services
• Jacqueline Mo Ting NG
• Joshua M NG, MD
• Pakkay Ngai, M.D.
• Ann Phuong Duy Nguyen, M.D.
• Hamid M Nia, MD
• George F Nichols, DMD
• Gregory N Nicola, MD
• Nicole Appello LCSW LLC
• Tova Niderberg

• Acute Care Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.