Kristen Burdette Reformato, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00667900 Issued in NJ

Practice address

4 Hartford Dr Ste 1
Tinton Falls, NJ 07701-4945

Phone

(732) 741-3600

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Riverview Medical Associates PA

  • Internal Medicine Physician
  • Tinton Falls, NJ
  • NPI 1194722694
  NPD

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1477906097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR STE 1",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014945",
            "telephone_number": "732-741-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR STE 1",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014945",
            "telephone_number": "732-741-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFORMATO",
        "first_name": "KRISTEN",
        "middle_name": "BURDETTE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00667900",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00667900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J. Razza, PHD
• Realm Psych
• Rebecca Serrano RDN LLC
• Red Bank Rejuvenation
• Redbank Wellness LLC
• Alyssa Marie Remantas, LAC, ATR-P
• Renee Bergin LPC LLC
• Respondpt LLC
• Mark William Reuter, PHD
• Andrew Richards, PTA

• Adult Health Nurse Practitioner in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.