Active NPI
Kristine Lynn Profeta, M.D.
- Family Medicine Physician
- Morristown, NJ
National Provider Identifier
1760699474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA08152100
- Practice address
- 1200 Mount Kemble Ave Ste 350
Morristown, NJ 07960-8008 - Phone
- (973) 993-4445
- Fax
- (973) 993-4942
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA08152100 | NJ | Primary |
Addresses
Primary practice location
1200 Mount Kemble Ave Ste 350
Morristown, NJ 07960-8008
Mailing address
1200 Mount Kemble Ave Ste 350
Morristown, NJ 07960-8008
Phone (973) 993-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08152100 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1760699474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MOUNT KEMBLE AVE STE 350",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079608008",
"telephone_number": "973-993-4445",
"fax_number": "973-993-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MOUNT KEMBLE AVE STE 350",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079608008",
"telephone_number": "973-993-4445",
"fax_number": "973-993-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFETA",
"first_name": "KRISTINE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA08152100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
- Proassist Surgical Services, LLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Nikoletta Proudan
- Vladimir Ivanovich Proudan, MD
- Provere Physical Therapy - Morristown LLC
- Psychiatric Consultants of Morris
- Psychotherapy and Trauma Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.