Individual provider Active NPI

David Krasnov, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1952109878
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15291000 Issued in NJ
Practice address
211 Broad St Ste 207
Red Bank, NJ 07701-2009
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
Mar 5, 2025
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 26NJ15291000 NJ Primary

Addresses

Primary practice location

211 Broad St Ste 207
Red Bank, NJ 07701-2009

Mailing address

539 Vaughn Ave Apt A6
Toms River, NJ 08753-5880
Phone (917) 280-5725

Other practice location 1

539 Vaughn Ave Apt A6
Toms River, NJ 08753-5880
Phone (917) 280-5725

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
I20250430001220 NJ Practitioner - Nurse Practitioner 5799201927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services of New Jersey LLCGroup PAC ID 8426451824, 8 clinicians

Practice addresses (Care Compare)

211 Broad St
Suite 207
Red Bank, NJ 07701-2009
Phone (630) 974-6602

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services of New Jersey LLC CurrentSince Apr 22, 2025 Accepting new patients

Locations

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

211 Broad St
Ste 207
Red Bank, NJ 07701
Phone (732) 576-3727

161 Washington Valley Rd
Ste 207
Warren, NJ 07059
Phone (908) 378-8878

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1952109878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 VAUGHN AVE APT A6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535880",
            "telephone_number": "917-280-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROAD ST STE 207",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012009",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Vaughn Ave Apt A6",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087535880",
            "country_code": "US",
            "telephone_number": "917-280-5725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRASNOV",
        "first_name": "DAVID",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15291000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.