Individual provider Active NPI

Cristina C. Sertway

  • Psychiatric/Mental Health Nurse Practitioner
  • Haddonfield, NJ
National Provider Identifier
1871965020
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00596700 Issued in NJ
Practice address
31 Kings Highway East
Second Floor
Haddonfield, NJ 08033
Phone
(856) 428-1260
Fax
(856) 428-1260
NPI assigned
Oct 28, 2015
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00596700 NJ Primary

Addresses

Primary practice location

31 Kings Highway East
Second Floor
Haddonfield, NJ 08033

Mailing address

31 Kings Highway East
Second Floor
Haddonfield, NJ 08033

Other practice location 1

1289 Route 38 West
Suite 203
Hainesport, NJ 08036
Phone (609) 267-5656

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
I20160615002154 NJ Practitioner - Nurse Practitioner 2062703424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Psychiatric CareGroup PAC ID 2365836020, 14 clinicians

Practice addresses (Care Compare)

2 Split Rock Dr
Suite 11
Cherry Hill, NJ 08003-1244
Phone (856) 428-1260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Insite Medical NJ PA Psychiatric/Mental Health CurrentSince Dec 6, 2022 Accepting new patients
Legacy Treatment Services Inc Current Accepting new patients
Clarity Psychiatric Care Psychiatric/Mental Health CurrentSince Feb 13, 2025 Accepting new patients
Insite Medical NJ PA PastSince May 1, 2024 Accepting new patients

Locations

2 Split Rock Dr
Ste 11
Cherry Hill, NJ 08003
Phone (856) 428-1260

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

31 Kings Hwy E
Fl Second
Haddonfield, NJ 08033
Phone (856) 428-1260

1289 Route 38
Ste 203
Hainesport, NJ 08036
Phone (609) 267-1377

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

795 Woodlane Rd
Westampton, NJ 08060
Phone (609) 267-1377

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1871965020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 KINGS HIGHWAY EAST",
            "address_2": "SECOND FLOOR",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 KINGS HIGHWAY EAST",
            "address_2": "SECOND FLOOR",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-1260",
            "fax_number": "856-428-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1289 Route 38 West",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Hainesport",
            "state": "NJ",
            "postal_code": "08036",
            "country_code": "US",
            "telephone_number": "609-267-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERTWAY",
        "first_name": "CRISTINA",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00596700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.