Active NPI
Jessica Kruszka, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Brick, NJ
National Provider Identifier
1508532078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 26NR21657900
- Practice address
- 495 Jack Martin Blvd Ste 6
Brick, NJ 08724-7778 - Phone
- (732) 344-0596
- NPI assigned
- Aug 17, 2021
- Last updated
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 26NR21657900 | NJ | Primary |
Addresses
Primary practice location
495 Jack Martin Blvd Ste 6
Brick, NJ 08724-7778
Mailing address
8 Palermo Dr
Tinton Falls, NJ 07724-3824
Phone (917) 868-5197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR21657900 | NJ | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monmouth Healthcare Services | Current | Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 6
Brick, NJ 08724
Phone (732) 344-0596
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1508532078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PALERMO DR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077243824",
"telephone_number": "917-868-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 JACK MARTIN BLVD STE 6",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247778",
"telephone_number": "732-344-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSZKA",
"first_name": "JESSICA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "26NR21657900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.