Active NPI
Rustica Atienza, APN
- Nurse Practitioner
- Pompton Plains, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00383800
- Practice address
- 1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100 - Phone
- (973) 831-3540
- Fax
- (973) 831-3503
- NPI assigned
- Oct 10, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00383800 | NJ | Primary |
Addresses
Primary practice location
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (973) 831-3540
Other practice location 1
151 Madison Ave
Morristown, NJ 07960-6016
Phone (973) 625-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1236 Route 46
Suite 100
Parsippany, NJ 07054-2159
Phone (973) 335-1850
224 Hamburg Tpke
Wayne, NJ 07470-2111
Phone (973) 989-3085
635 Duquesne Blvd
Brick, NJ 08723-5073
Phone (609) 445-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00383800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Providers LLC | Current | Accepting new patients | |
| Longevity Clinical LTC Associates of New Jersey | Current | Accepting new patients | |
| Affinity Care of NJ LLC | Current | Accepting new patients | |
| Windsor Advanced Practice Nursing PC | Current | Accepting new patients | |
| Pradip S. Shah, M.D. | Past | Accepting new patients |
Locations
11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270
635 Duquesne Blvd
Brick, NJ 08723
Phone (609) 445-3700
255 E Main St
Moorestown, NJ 08057
Phone (856) 222-0248
100 McClellen St
Norwood, NJ 07648
Phone (201) 767-0100
1236 Route 46
Ste 100
Parsippany, NJ 07054
Phone (551) 223-7912
780 New Brunswick Rd
Somerset, NJ 08873
Phone (732) 653-3000
275 John T Oleary Blvd
South Amboy, NJ 08879
Phone (201) 397-5200
275 John T Oleary Blvd
Venetian Care and Re
South Amboy, NJ 08879
Phone (732) 721-8200
1140 Black Oak Ridge Rd
Wayne, NJ 07470
Phone (973) 831-7034
Organizations & group practices 7
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.
-
- Community Based Hospice Care Agency
- Brick, NJ
- NPI 1578178281
-
- Internal Medicine Physician
- Parsippany, NJ
- NPI 1790497444
-
- Hospitalist Physician
- Wayne, NJ
- NPI 1437185865
-
- Primary Care Nurse Practitioner
- Lakewood, NJ
- NPI 1376114322
-
- Adult Health Nurse Practitioner
- Norwood, NJ
- NPI 1033595897
-
- Geriatric Medicine (Internal Medicine) Physician
- West Caldwell, NJ
- NPI 1326059320
-
- Geriatric Medicine (Internal Medicine) Physician
- West Caldwell, NJ
- NPI 1558557124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Clare's Hospital
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1538411830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "973-831-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CEDAR CREST VILLAGE DR",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074442100",
"telephone_number": "973-831-3540",
"fax_number": "973-831-3503"
}
],
"practiceLocations": [
{
"address_1": "151 Madison Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606016",
"country_code": "US",
"telephone_number": "973-625-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATIENZA",
"first_name": "RUSTICA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00383800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.