Individual provider Active NPI

Geraldine Calixte-Starks, FNP-C

  • Family Nurse Practitioner
  • Orange, NJ
National Provider Identifier
1497562516
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15233900 Issued in NJ
Practice address
439 Seven Oaks Rd
Orange, NJ 07050-3120
Phone
(973) 530-1166
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15233900 NJ Primary

Addresses

Primary practice location

439 Seven Oaks Rd
Orange, NJ 07050-3120

Mailing address

439 Seven Oaks Rd
Orange, NJ 07050-3120
Phone (973) 530-1166

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
I20250116001917 NJ Practitioner - Nurse Practitioner 9830627959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John V Kelly MD PCGroup PAC ID 9638106891, 5 clinicians

Practice addresses (Care Compare)

382 W Passaic Ave
Bloomfield, NJ 07003-5554
Phone (973) 338-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15233900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John V. Kelly MD, PC CurrentSince Jan 6, 2025 Accepting new patients

Locations

382 W Passaic Ave
Bloomfield, NJ 07003
Phone (973) 338-1383

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1497562516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 SEVEN OAKS RD",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503120",
            "telephone_number": "973-530-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SEVEN OAKS RD",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503120",
            "telephone_number": "973-530-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTE-STARKS",
        "first_name": "GERALDINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15233900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

Verify at the official NPI Registry.