Individual provider Active NPI

Karen Papavasiliou, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1407577638
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01362700 Issued in NJ
Practice address
211 Essex St
Hackensack, NJ 07601-3231
Phone
(201) 487-1240
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01362700 NJ Primary

Addresses

Primary practice location

211 Essex St
Hackensack, NJ 07601-3231

Mailing address

1075 Briar Way
Fort Lee, NJ 07024-6342
Phone (201) 724-6218

Other practice location 1

65 Harristown Rd
Glen Rock, NJ 07452-3315
Phone (201) 487-1240

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01362700OtherNJADVANCED PRACTICE NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Associates, LLC CurrentSince Sep 16, 2022 Accepting new patients
Hackensack Psychiatric Group LLC PastSince Sep 16, 2022 Accepting new patients

Locations

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

65 Harristown Rd
Ste 1
Glen Rock, NJ 07452

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1407577638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BRIAR WAY",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246342",
            "telephone_number": "201-724-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-487-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Harristown Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074523315",
            "country_code": "US",
            "telephone_number": "201-487-1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAVASILIOU",
        "first_name": "KAREN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01362700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE LICENSE",
            "identifier": "26NJ01362700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.