Astin Civitano, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01154200 Issued in NJ

Practice address

33 Powderhorn Dr
Kinnelon, NJ 07405-2934

Phone

(973) 865-7501

NPI assigned

May 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1609442714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 POWDERHORN DR",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052934",
            "telephone_number": "973-865-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 POWDERHORN DR",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052934",
            "telephone_number": "973-865-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVITANO",
        "first_name": "ASTIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01154200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Jensen Campos, NP
• Therese P Casas, PAC
• Centers for Behavioral Success
• Thomas Yamamoto Chong-Munoz, R.PH.
• Maryellen Cirangle, RPH
• Corefit Physical Therapy
• Roy Stephan Corson, M.ED., L.P.C., N.C.C
• Evelyn D'Onofrio
• Margaret Mary Defeo, OTR
• Antoinette Deingeniis, DO

• Family Nurse Practitioner in Kinnelon, NJ
• Providers in Kinnelon, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.