Active NPI
Theresa M Kriston, M.D.
- Pediatrics Physician
- Trenton, NJ
National Provider Identifier
1811922818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 228889
- Practice address
- 44 S Clinton Ave
2ND Floor
Trenton, NJ 08609-1241 - Phone
- (609) 943-5810
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 228889 | MA | Primary |
Addresses
Primary practice location
44 S Clinton Ave
2ND Floor
Trenton, NJ 08609-1241
Mailing address
360 Maplewood Ave
Colonia, NJ 07067-3708
Phone (609) 943-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228889 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811922818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MAPLEWOOD AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070673708",
"telephone_number": "609-943-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S CLINTON AVE",
"address_2": "2ND FLOOR",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086091241",
"telephone_number": "609-943-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTON",
"first_name": "THERESA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "228889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.