Individual provider Active NPI

Martha E De Crisce, DNP, APN, FNP-C

  • Family Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1770062960
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00845200 Issued in NJ
Practice address
38 Elmora Ave
Elizabeth, NJ 07202-2248
Phone
(908) 576-8982
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00845200 NJ Primary

Addresses

Primary practice location

38 Elmora Ave
Elizabeth, NJ 07202-2248

Mailing address

974 Harding Rd
Elizabeth, NJ 07208-1048
Phone (310) 902-2536

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
I20181010000123 NJ Practitioner - Nurse Practitioner 9133471741 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00845200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ariel Quinones MD PastSince Oct 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: martha.decrisce@direct.digidms.com

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1770062960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 HARDING RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081048",
            "telephone_number": "310-902-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022248",
            "telephone_number": "908-576-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CRISCE",
        "first_name": "MARTHA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00845200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.