Individual provider Active NPI

Kristi L Mulvey, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Long Branch, NJ
National Provider Identifier
1407311830
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00899700 Issued in NJ
Practice address
300 2ND Ave Ste Sh013
Long Branch, NJ 07740-6303
Phone
(732) 923-6091
Fax
(732) 923-6092
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 26NJ00899700 NJ
Pediatric Nurse Practitioner 363LP0200X 26NJ00899700 NJ Primary

Addresses

Primary practice location

300 2ND Ave Ste Sh013
Long Branch, NJ 07740-6303

Mailing address

45 Broadway
Freehold, NJ 07728-1863
Phone (908) 812-4074

Other practice location 1

279 3rd Ave Ste 306
Long Branch, NJ 07740-6205
Phone (732) 923-6091

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
I20190423000382 NJ Practitioner - Nurse Practitioner 8729320700 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 1, 2023 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Mar 9, 2019 Accepting new patients

Locations

200 Wyckoff Rd
Ste 4500
Eatontown, NJ 07724
Phone (732) 235-7960

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

279 3rd Ave
Ste 306
Long Branch, NJ 07740
Phone (732) 235-6813

300 2nd Ave
Ste SH13
Long Branch, NJ 07740
Phone (732) 923-6091

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 3

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1407311830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BROADWAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281863",
            "telephone_number": "908-812-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE STE SH013",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-6091",
            "fax_number": "732-923-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 3rd Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406205",
            "country_code": "US",
            "telephone_number": "732-923-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "NJ",
            "license": "26NJ00899700",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00899700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.