Cristin McKenna, M.D., PH.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA08280900 Issued in NJ

Practice address

120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168

Phone

(201) 447-4772

Fax

(973) 243-6861

NPI assigned

Sep 4, 2007

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Rutgers New Jersey Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Specialists of New Jersey LLCGroup PAC ID 9931197050, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.05 of 100Reported as apm

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cristinmckenna@kps.allscriptsdirect.net

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.

• Rehabilitation Specialists of New Jersey, LLC

  • Specialist
  • East Hanover, NJ
  • NPI 1790727220
  Medicare reassignment Care Compare group NPD
• Kessler Professional Services LLC

  • Specialist
  • West Orange, NJ
  • NPI 1508804048
  Medicare reassignment NPD

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1366636300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "201-447-4772",
            "fax_number": "973-243-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "201-447-4772",
            "fax_number": "973-243-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2021-11-16",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA08280900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marshall, DPT
• Giuseppe Marzella, MD
• Toni Marie Marzullo, MSW, LCSW
• Edward George Mauceri, M.D.
• MC Counseling Services, LLC
• Med-Care of East Hanover, Inc.
• Melissa a Keogh Limited Liability Company (Melissa Keogh)
• Mark A Merlin, DO
• Megan A Messina, LPC
• Kim Ann Miller, PT

• Physical Medicine & Rehabilitation Physician in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.