Individual provider Active NPI

Rustica Atienza, APN

  • Nurse Practitioner
  • Pompton Plains, NJ
National Provider Identifier
1538411830
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00383800 Issued in NJ
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

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000503 NJ Practitioner - Nurse Practitioner 1759532658 Reassigns benefits to 6 organizations

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
Main Street Medical Providers LLCGroup PAC ID 3971973702, 5 clinicians
Integrated Hospital Medicine LLCGroup PAC ID 8426058025, 4 clinicians
Affinity Care of NJ LLCGroup PAC ID 5193135754, 3 clinicians

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

LicenseStateTypeSpecialty
26NJ00383800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Providers LLC CurrentSince Dec 13, 2024 Accepting new patients
Longevity Clinical LTC Associates of New Jersey CurrentSince Feb 11, 2022 Accepting new patients
Affinity Care of NJ LLC CurrentSince Nov 13, 2023 Accepting new patients
Windsor Advanced Practice Nursing PC CurrentSince Feb 1, 2019 Accepting new patients
Pradip S. Shah, M.D. PastSince May 14, 2023 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.

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": "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

Verify at the official NPI Registry.