Individual provider Active NPI

Krystina Zeliff, PA-C

  • Medical Physician Assistant
  • Woodbury, NJ
National Provider Identifier
1588086821
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00321800 Issued in NJ
Practice address
875 Mantua Pike
Woodbury, NJ 08096
Phone
(856) 384-5949
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00321800 NJ Primary

Addresses

Primary practice location

875 Mantua Pike
Woodbury, NJ 08096

Mailing address

875 Mantua Pike
Woodbury, NJ 08096-3337

Other practice location 1

249 Franklin Ave
Nutley, NJ 07110-2710
Phone (973) 542-1106

Other practice location 2

249 Franklin Ave
Nutley, NJ 07110-2710
Phone (973) 542-1106

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
I20160707000814 NJ Practitioner - Physician Assistant 1153640909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 872-7055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00321800NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Dec 6, 2024 Accepting new patients
Advocare, LLC CurrentSince Dec 6, 2024 Accepting new patients
Medexpress Urgent Care Connecticut, P.C. CurrentSince Mar 1, 2022 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

68 Division St
Derby, CT 06418
Phone (203) 732-6802

339 N Route 73
Ste 1
Berlin, NJ 08009
Phone (856) 767-8228

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

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

7665 Maple Ave
Pennsauken, NJ 08109
Phone (856) 665-9520

Interoperability endpoints

  • Direct secure messaging: krystina.zeliff@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1588086821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-384-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071102710",
            "country_code": "US",
            "telephone_number": "973-542-1106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071102710",
            "country_code": "US",
            "telephone_number": "973-542-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELIFF",
        "first_name": "KRYSTINA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00321800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.