Individual provider Active NPI

Cara Mia Konzel, MS, RN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1568694974
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00212100 Issued in NJ
Practice address
721 Clifton Ave
Suite 2a
Clifton, NJ 07013-1880
Phone
(973) 777-7727
Fax
(973) 779-7906
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00212100 NJ Primary
Acute Care Nurse Practitioner 363LA2100X F430401 NY

Addresses

Primary practice location

721 Clifton Ave
Suite 2a
Clifton, NJ 07013-1880

Mailing address

721 Clifton Ave
Suite 2a
Clifton, NJ 07013-1880
Phone (973) 777-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AZ, CO, IL, KS, RI, AL, LA, MT, WY, VA11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20120924000198 NJ Practitioner - Nurse Practitioner 0547441289 Reassigns benefits to 1 organization
I20250204003240 AZ Practitioner - Nurse Practitioner 0547441289
I20250207003419 CO Practitioner - Nurse Practitioner 0547441289
I20250304001714 IL Practitioner - Nurse Practitioner 0547441289
I20250325003720 KS Practitioner - Nurse Practitioner 0547441289
I20250414002637 RI Practitioner - Nurse Practitioner 0547441289
I20250502002211 AL Practitioner - Nurse Practitioner 0547441289
I20250505003347 LA Practitioner - Nurse Practitioner 0547441289
I20250509001611 MT Practitioner - Nurse Practitioner 0547441289
I20250509001959 WY Practitioner - Nurse Practitioner 0547441289 Reassigns benefits to 1 organization
I20250514000742 VA Practitioner - Nurse Practitioner 0547441289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00212100NJMDAcute Care Nurse Practitioner
F430401NYMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cara.konzel@nj002.digichart.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1568694974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CLIFTON AVE",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131880",
            "telephone_number": "973-777-7727",
            "fax_number": "973-779-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CLIFTON AVE",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131880",
            "telephone_number": "973-777-7727",
            "fax_number": "973-779-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZEL",
        "first_name": "CARA",
        "middle_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00212100",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.