Individual provider Active NPI

Khristine J Aguinaldo, CPNP-PC

  • Pediatric Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1508340845
Registry record updated Sep 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00855400 Issued in NJ
Practice address
1500 Pleasant Valley Way
West Orange, NJ 07052-2956
Phone
(973) 243-0002
NPI assigned
Sep 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 26NJ00855400 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
West Orange, NJ 07052-2956

Mailing address

230 Colonial Ave
Union, NJ 07083-9022
Phone (908) 964-1682

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
I20200707003125 NJ Practitioner - Nurse Practitioner 3375966526 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00855400NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Single Specialty CurrentSince Mar 2, 2020 Accepting new patients
Advocare , LLC Single Specialty CurrentSince Mar 2, 2020 Accepting new patients
Kintiroglou Pediatrics LLC Past Accepting new patients
Advocare, LLC Single Specialty Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

7 James St
Fl 1
Florham Park, NJ 07932

7 James St
Florham Park, NJ 07932
Phone (973) 295-6226

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

745 Northfield Ave
Ste 7
West Orange, NJ 07052
Phone (973) 243-0002

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": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1508340845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COLONIAL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839022",
            "telephone_number": "908-964-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-243-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUINALDO",
        "first_name": "KHRISTINE",
        "middle_name": "J",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00855400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.