Active NPI
Kaitlyn Matthews, CRNA
- Certified Registered Nurse Anesthetist
- Berkeley Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00839300
- Practice address
- 1 Diamond Hill Rd FL 3
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 277-8872
- Fax
- (908) 464-4930
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR17968900 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00839300 | NJ | Primary |
Addresses
Primary practice location
1 Diamond Hill Rd FL 3
Berkeley Heights, NJ 07922-2104
Mailing address
528 Mount Hope Rd
Wharton, NJ 07885-2816
Phone (724) 554-0020
Other practice location 1
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR17968900 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
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.
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1326531799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 MOUNT HOPE RD",
"city": "WHARTON",
"state": "NJ",
"postal_code": "078852816",
"telephone_number": "724-554-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD FL 3",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-277-8872",
"fax_number": "908-464-4930"
}
],
"practiceLocations": [
{
"address_1": "94 Old Short Hills Rd",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070395672",
"country_code": "US",
"telephone_number": "973-322-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KAITLYN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR17968900",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00839300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.