Individual provider Active NPI

Stephanie Ellen Kintzing, APN, WHNP

  • Women's Health Nurse Practitioner
  • Franklin Lakes, NJ
National Provider Identifier
1730669953
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00849100 Issued in NJ
Practice address
841 Franklin Ave Ste 5
Franklin Lakes, NJ 07417-1418
Phone
(201) 891-8811
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00849100 NJ Primary

Addresses

Primary practice location

841 Franklin Ave Ste 5
Franklin Lakes, NJ 07417-1418

Mailing address

105 Hawthorne Ave Apt E
Park Ridge, NJ 07656-3207
Phone (201) 994-9341

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
I20181121001991 NJ Practitioner - Nurse Practitioner 0749534113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00849100NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua a Weidman MD LLC Past Accepting new patients

Organizations & group practices 2

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1730669953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HAWTHORNE AVE APT E",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076563207",
            "telephone_number": "201-994-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 FRANKLIN AVE STE 5",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171418",
            "telephone_number": "201-891-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZING",
        "first_name": "STEPHANIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "APN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00849100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.