Individual provider Active NPI

Monica Cisneros

  • Registered Nurse First Assistant
  • Ringwood, NJ
National Provider Identifier
1295876100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NO10243300 Issued in NJ
Practice address
45 Buena Vista Dr
Ringwood, NJ 07456-2006
Phone
(201) 248-9381
Fax
(973) 831-1143
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 26NO10243300 NJ Primary

Addresses

Primary practice location

45 Buena Vista Dr
Ringwood, NJ 07456-2006

Mailing address

45 Buena Vista Dr
Ringwood, NJ 07456-2006
Phone (201) 248-9381

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
I20131029000304 NJ Practitioner - Nurse Practitioner 5294960274 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO10243300NJMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Specialty Care Associates, PC CurrentSince Nov 1, 2013 Accepting new patients
Humc Medical Observation Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • Direct secure messaging: mcisneros86901@direct.msmc.com

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295876100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BUENA VISTA DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562006",
            "telephone_number": "201-248-9381",
            "fax_number": "973-831-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BUENA VISTA DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562006",
            "telephone_number": "201-248-9381",
            "fax_number": "973-831-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO10243300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringwood, NJ

Sources for this page

Verify at the official NPI Registry.