Individual provider Active NPI

Kristina Anna Emodi

  • Family Nurse Practitioner
  • Parsippany, NJ
National Provider Identifier
1639805336
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01265900 Issued in NJ
Practice address
1116 Route 46
Parsippany, NJ 07054-2100
Phone
(973) 850-6843
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01265900 NJ Primary

Addresses

Primary practice location

1116 Route 46
Parsippany, NJ 07054-2100

Mailing address

41 Midland Dr
Morristown, NJ 07960-5064
Phone (973) 769-4511

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
I20230504001904 NJ Practitioner - Nurse Practitioner 4880059393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xbody Health and Wellness PAGroup PAC ID 8123346608, 8 clinicians

Practice addresses (Care Compare)

87 Berdan Ave
Suite 3
Wayne, NJ 07470-3210
Phone (973) 692-9780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Xbody Health & Wellness PA CurrentSince Apr 7, 2023 Accepting new patients

Locations

87 Berdan Ave
Ste 3
Wayne, NJ 07470
Phone (973) 692-9780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1639805336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MIDLAND DR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605064",
            "telephone_number": "973-769-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 ROUTE 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542100",
            "telephone_number": "973-850-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMODI",
        "first_name": "KRISTINA",
        "middle_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01265900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.