Individual provider Active NPI

Anastasia A. Krosnick, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1629552245
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00858000 Issued in NJ
Practice address
20 Banta PL Ste 208
Hackensack, NJ 07601-5606
Phone
(201) 968-5168
Fax
(201) 968-5169
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00858000 NJ Primary

Addresses

Primary practice location

20 Banta PL Ste 208
Hackensack, NJ 07601-5606

Mailing address

221 Park Ave
Rutherford, NJ 07070-2309
Phone (201) 293-0976

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
I20181126001526 NJ Practitioner - Nurse Practitioner 6709130032 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MiddlesexGroup PAC ID 0547165904, 16 clinicians
The Center for Great Expectations Inc.Group PAC ID 1153656319, 3 clinicians

Practice addresses (Care Compare)

20 Banta PL
Suite 208
Hackensack, NJ 07601-5606
Phone (201) 968-5168

570 Lee St
Perth Amboy, NJ 08861-3053
Phone (732) 442-1666

984 Bergen Ave
North Brunswick, NJ 08902-2335
Phone 7329936403416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Great Expectations CurrentSince Jul 13, 2022 Accepting new patients
County of Middlesex CurrentSince Jul 23, 2021 Accepting new patients
Grace Medical Group LLC CurrentSince Nov 26, 2018 Accepting new patients
County of Middlesex CurrentSince Jul 23, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2019 Accepting new patients
The Center for Great Expectations, Inc. CurrentSince Jul 13, 2022 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Intouch Mental Wellness LLC CurrentSince Jun 18, 2021 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Dec 3, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2019 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

20 Banta Pl
Ste 208
Hackensack, NJ 07601
Phone (201) 968-5168

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

984 Bergen Ave
North Brunswick, NJ 08902
Phone (732) 545-0202

570 Lee St
Perth Amboy, NJ 08861
Phone (732) 442-1666

1600 Saint Georges Ave
Ste 118
Rahway, NJ 07065
Phone (732) 596-1088

555 Goffle Rd
Ste 108
Ridgewood, NJ 07450

221 Park Ave
Rutherford, NJ 07070
Phone (201) 293-0976

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: anastasia.krosnick@direct.christhospital.md

Organizations & group practices 10

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1629552245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702309",
            "telephone_number": "201-293-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BANTA PL STE 208",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015606",
            "telephone_number": "201-968-5168",
            "fax_number": "201-968-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSNICK",
        "first_name": "ANASTASIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00858000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.