Kristen Depuyt, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN09821600 Issued in NJ

Practice address

73 Oak Ridge Rd
Newfoundland, NJ 07435-1403

Phone

(973) 663-1143

Fax

(973) 810-3233

NPI assigned

Oct 21, 2005

Last updated

Dec 30, 2021By the provider in NPPES

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540

  Single Specialty

  Medicare reassignment NPD
• Ipediatrics

  • Pediatric Registered Nurse
  • Lake Hopatcong, NJ
  • NPI 1255675393
  Authorized official Same address or phone
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232

  Single Specialty

  NPD (past)
• Pediatric Professional Associates, PA

  • Legal Medicine
  • Wayne, NJ
  • NPI 1891942967

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1942299953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 OAK RIDGE RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351403",
            "telephone_number": "973-663-1143",
            "fax_number": "973-810-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 OAK RIDGE RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351403",
            "telephone_number": "973-663-1143",
            "fax_number": "973-810-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUYT",
        "first_name": "KRISTEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN09821600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "NN09821600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Tamas Bock Jr., M.D.
• Andrea Brassard, NP
• Alexis Chauvette, MSN, CPNP-PC,RN, CPN
• Clear Minds Psychotherapy
• Compassionate Community Care LLC
• Annette Dinapoli, LCSW, DCSW
• Energy Surgical Consultant, LLC
• Ryan West Hanright
• Gertrude Heerema, LCSW
• Hoop N Drums LLC.

• Pediatric Nurse Practitioner in Newfoundland, NJ
• Providers in Newfoundland, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.