Individual provider Active NPI

Kristin Horan, APN

  • Physician Assistant
  • Freehold, NJ
National Provider Identifier
1467966523
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
26NJ00766200 Issued in NJ
Practice address
4 Paragon Way Ste 300
Freehold, NJ 07728-7805
Phone
(844) 337-6362
Fax
(646) 665-3604
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 26NJ00766200 NJ Primary

Addresses

Primary practice location

4 Paragon Way Ste 300
Freehold, NJ 07728-7805

Mailing address

33 E 33Rd St FL 12
New York, NY 10016-5362
Phone (844) 337-6362

Other names 1

  • Kristin Langan Professional 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
I20171227000820 NJ Practitioner - Nurse Practitioner 2365700184 Reassigns benefits to 2 organizations
I20201124001272 NY Practitioner - Nurse Practitioner 2365700184 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Laser Center PA CurrentSince Mar 1, 2025 Accepting new patients
Schweiger Dermatology, PC CurrentSince Jan 1, 2024 Accepting new patients
Bay Ridge Skin and Cancer Dermatology, PC CurrentSince Oct 1, 2020 Accepting new patients
Schweiger Dermatology PLLC PastSince Jan 1, 2024 Accepting new patients

Locations

145 Wyckoff Rd
Ste 200
Eatontown, NJ 07724
Phone (732) 222-8323

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

51 Kent Rd
Howell, NJ 07731
Phone (732) 886-7503

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

9921 4th Ave
Ste 1
Brooklyn, NY 11209

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Organizations & group practices 4

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": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1467966523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E 33RD ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165362",
            "telephone_number": "844-337-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARAGON WAY STE 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287805",
            "telephone_number": "844-337-6362",
            "fax_number": "646-665-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "KRISTIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "26NJ00766200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LANGAN",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.