Individual provider Active NPI

Taisa Krysyna, MSN, APN, FNP-C

  • Family Medicine Physician
  • Wallington, NJ
National Provider Identifier
1659922870
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00965100 Issued in NJ
Practice address
379 Main Ave Ste 3
Wallington, NJ 07057-1718
Phone
(973) 779-2277
NPI assigned
Sep 29, 2019
Last updated
Sep 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NJ00965100 NJ Primary

Addresses

Primary practice location

379 Main Ave Ste 3
Wallington, NJ 07057-1718

Mailing address

2 Tamarack LN
Pine Brook, NJ 07058-9632
Phone (973) 865-8186

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
I20200715003294 NJ Practitioner - Nurse Practitioner 2365866993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Haledon Medical, PCGroup PAC ID 0345299947, 11 clinicians

Practice addresses (Care Compare)

510 Hamburg Tpke
Suite 101
Wayne, NJ 07470-2033
Phone (973) 942-6005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
81.99
Promoting interoperability
95
Improvement activities
20
Cost
69.63

National Provider Directory

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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1659922870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TAMARACK LN",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589632",
            "telephone_number": "973-865-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 MAIN AVE STE 3",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571718",
            "telephone_number": "973-779-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSYNA",
        "first_name": "TAISA",
        "credential": "MSN, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ00965100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallington, NJ

Sources for this page

Verify at the official NPI Registry.