Kristina Marie Waters-Depietro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349470 Issued in NY

Practice address

1019 Washington Ave S
Old Tappan, NJ 07675-7209

Phone

(732) 266-0072

NPI assigned

Apr 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1851035125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WASHINGTON AVE S",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757209",
            "telephone_number": "732-266-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WASHINGTON AVE S",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757209",
            "telephone_number": "732-266-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS-DEPIETRO",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Villone
• Vip Helpers of NJ, LLC
• Robert Lewis Vitti, M.D.
• Julie A Vlakic, ED., M.
• Carl Paul Waltke, D.M.D.
• Well-America Corp
• Gregory R. Zaccone, PT, DPT, MSPT, SCS

• Family Nurse Practitioner in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.