Active NPI
Kristy a Nanartowicz Psy D, LLC
- Psychologist
- Manahawkin, NJ
National Provider Identifier
1386392066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KRISTY A NANARTOWICZ PSY D, LLC
- Practice address
- 1166 Buccaneer LN
Manahawkin, NJ 08050-4844 - Phone
- (732) 664-2298
- NPI assigned
- Mar 12, 2022
- Last updated
- Mar 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristy A Nanartowicz, PSY. D.
- Title
- Managing Member
- Phone
- (732) 664-2298
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1166 Buccaneer LN
Manahawkin, NJ 08050-4844
Mailing address
1166 Buccaneer LN
Manahawkin, NJ 08050-4844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35SI00646500 | Other | NJ | STATE LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Forked River, NJ
- NPI 1083286546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647043200000",
"number": "1386392066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 BUCCANEER LN",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080504844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 BUCCANEER LN",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080504844",
"telephone_number": "732-664-2298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTY A NANARTOWICZ PSY D, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-12",
"last_updated": "2022-03-12",
"certification_date": "2022-03-12",
"status": "A",
"authorized_official_last_name": "NANARTOWICZ",
"authorized_official_first_name": "KRISTY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "732-664-2298",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY. D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "35SI00646500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.