Individual provider Active NPI

Krystyna Banfield, APN-C

  • Adult Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1730460981
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00342800 Issued in NJ
Practice address
62 N Sailors Quay Dr
Brick, NJ 08723-4707
Phone
(732) 920-4314
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00342800 NJ Primary

Addresses

Primary practice location

62 N Sailors Quay Dr
Brick, NJ 08723-4707

Mailing address

62 N Sailors Quay Dr
Brick, NJ 08723-4707
Phone (732) 920-4314

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
I20130927000574 NJ Practitioner - Nurse Practitioner 6507090826 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

561 US Hwy 1 S Unit E3/E4
Immediate Care Medical Walk in
Edison, NJ 08817-4400
Phone (732) 933-0950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00342800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA CurrentSince Mar 21, 2020 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Dec 1, 2020 Accepting new patients
Middlesex Emergency Physicians, P.a. CurrentSince Mar 1, 2020 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Dec 1, 2020 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Sep 1, 2013 Accepting new patients
Golding Granado Medical Associates Past Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Unit E3E4
Edison, NJ 08817
Phone (732) 933-0950

65 James St
Edison, NJ 08820
Phone (732) 321-7010

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

Organizations & group practices 6

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1730460981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N SAILORS QUAY DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234707",
            "telephone_number": "732-920-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N SAILORS QUAY DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234707",
            "telephone_number": "732-920-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFIELD",
        "first_name": "KRYSTYNA",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00342800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.