Individual provider Active NPI

Kristina Flores, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1407293863
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00420300 Issued in NJ
Practice address
625 Broad St Ste 240
Newark, NJ 07102-4417
Phone
(917) 409-8596
NPI assigned
May 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00420300 NJ Primary
Adult Health Nurse Practitioner 363LA2200X 26NJ00420300 NJ

Addresses

Primary practice location

625 Broad St Ste 240
Newark, NJ 07102-4417

Mailing address

18 Wyckoff Ave Ste 202
Waldwick, NJ 07463-1778
Phone (917) 409-8596

Other names 1

  • Kristina Flores Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160512000668 NJ Practitioner - Nurse Practitioner 6305162728 Reassigns benefits to 4 organizations
I20260610004356 NY Practitioner - Nurse Practitioner 6305162728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00420300NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2022 Accepting new patients
Meditelecare of New Jersey LLC CurrentSince Apr 16, 2021 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Nov 27, 2025 Accepting new patients
Saddle River Medical Group, LLC CurrentSince Nov 3, 2016 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2022 Accepting new patients
Whiteglove Health, Inc. PastSince Sep 16, 2013 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

82 E Allendale Rd
Ste 3A
Saddle River, NJ 07458
Phone (201) 236-1183

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

Interoperability endpoints

  • Direct secure messaging: kflores76802@direct.optum.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1407293863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WYCKOFF AVE STE 202",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631778",
            "telephone_number": "917-409-8596",
            "fax_number": "917-258-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROAD ST STE 240",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024417",
            "telephone_number": "917-409-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KRISTINA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-25",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00420300",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00420300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "FLORES",
            "credential": "KRISTINA VITAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.