Crystal J Fitzpatrick, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00006800 Issued in NJ

Practice address

1 Bay Ave
Mountainside Hospital
Montclair, NJ 07042-4837

Phone

(888) 247-1400

Fax

(973) 290-7585

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

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

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.

• Genpsych, Inc

  • Community/Behavioral Health Agency
  • Bridgewater, NJ
  • NPI 1548447881
  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1497832166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEST GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "MOUNTAINSIDE HOSPITAL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "888-247-1400",
            "fax_number": "973-290-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NJ000006800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00006800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Franklin Finn, MSW, LCSW
• Beth Dibiase Fiorarancio, LCSW
• First Mountain Dental Group P.C.
• Evan Scott Fischer, M.D.
• Carly Fisher, PHD, LPC
• Focal Point Therapy LLC
• Focus Physical Therapy LLC
• Focused Vision
• Sally Ann Fokas, OPTICIAN
• Barbara Carol Foley, P.T., F.P.

• Psychiatric/Mental Health Nurse Practitioner in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.