Individual provider Active NPI

Hrisula Sterjova, AGPCNP-BC

  • Geriatric Medicine (Internal Medicine) Physician
  • Ridgefield, NJ
National Provider Identifier
1316669344
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
26NJ01356100 Issued in NJ
Practice address
561 Shaler Blvd Apt a
Ridgefield, NJ 07657-3731
Phone
(201) 310-1253
NPI assigned
Sep 15, 2022
Last updated
Sep 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 26NJ01356100 NJ Primary

Addresses

Primary practice location

561 Shaler Blvd Apt a
Ridgefield, NJ 07657-3731

Mailing address

561 Shaler Blvd Apt a
Ridgefield, NJ 07657-3731
Phone (201) 310-1253

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01356100OtherNJADVANCE PRACTICE NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kate.93723@icloud.com Direct

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
I20230914001029 NJ Order and Referring Only - Nurse Practitioner 2062876790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01356100NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Hudson Community Action Corporation Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1316669344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 SHALER BLVD APT A",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076573731",
            "telephone_number": "201-310-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 SHALER BLVD APT A",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076573731",
            "telephone_number": "201-310-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERJOVA",
        "first_name": "HRISULA",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "26NJ01356100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE NURSE",
            "identifier": "26NJ01356100",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kate.93723@icloud.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "561 Shaler Blvd Apt A",
            "city": "Ridgefield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076573731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

Verify at the official NPI Registry.