Individual provider Active NPI

Kristina Elizabeth Hicks, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Verona, NJ
National Provider Identifier
1437314606
Registry record updated Jul 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA08444200 Issued in NJ
Practice address
799 Bloomfield Ave
Suite 303
Verona, NJ 07044-1367
Phone
(973) 857-7800
NPI assigned
Jul 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA08444200 NJ Primary

Addresses

Primary practice location

799 Bloomfield Ave
Suite 303
Verona, NJ 07044-1367

Mailing address

799 Bloomfield Ave
Suite 303
Verona, NJ 07044-1367

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000417 NJ Practitioner - Physical Medicine and Rehabilitation 9335207794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlantic Pain and Rehab Associates, LLCGroup PAC ID 2163310004, 2 clinicians

Practice addresses (Care Compare)

799 Bloomfield Ave
Suite 212
Verona, NJ 07044-1301
Phone (973) 857-7800

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as individual
Quality
15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08444200NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlantic Pain and Rehab Associates, LLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2008 Accepting new patients
Center for Advanced Pain Management and Wellness, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

799 Bloomfield Ave
Ste 303
Verona, NJ 07044
Phone (973) 857-7800

799 Bloomfield Ave
Ste 212
Verona, NJ 07044
Phone (908) 754-4900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217116800000",
    "number": "1437314606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE",
            "address_2": "SUITE 303",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE",
            "address_2": "SUITE 303",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441367",
            "telephone_number": "973-857-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KRISTINA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA08444200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.