Christy-Lynn Kanazik, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

25ME00047001 Issued in NJ

Practice address

415 Glen Rd
Sparta, NJ 07871-3114

Phone

(862) 377-1371

Fax

(862) 377-1371

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckanazik201300@ahs.direct-ci.com
• Direct secure messaging: christy-lynn.kanazik@335000925634564.direct.elationemr.com

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.

• Ocean Health Initiatives Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1043306574
  Medicare reassignment NPD
• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  Medicare reassignment NPD
• Ocean Health Initiatives, Inc

  • Federally Qualified Health Center (FQHC)
  • Toms River, NJ
  • NPI 1417938044
  NPD
• Ocean Health Initiatives,Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1649643420
  NPD
• Gentle Birth Midwives PC

  • Health Service Clinic/Center
  • Clifton, NJ
  • NPI 1548713720
  NPD (past)
• Northeast Women Health PC

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1154107795
  NPD (past)
• Northeast Women Health PC

  • Obstetrics & Gynecology Physician
  • Paramus, NJ
  • NPI 1508643933
  NPD (past)
• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1689808370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLEN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713114",
            "telephone_number": "862-377-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLEN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713114",
            "telephone_number": "862-377-1371",
            "fax_number": "862-377-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAZIK",
        "first_name": "CHRISTY-LYNN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010190",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001407",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00047001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Johnson, RD, BCBA
• Sharon E Jordan Feldman, M.S.W.
• Tulasi Jordan, LCSW
• Joseph H. Lohner, D.D.S., M.S., P.a.
• Journeys Edge Counseling LLC
• Maria Karagiannis Tsekouras, DPT
• Karen Johnson Surgical Assistant LLC
• Kenneth Blair Kashkin
• Rebecca Lynn Keenan, RPT
• Mary Helen Kellam

• Advanced Practice Midwife in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Advanced Practice Midwife in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.