Individual provider Active NPI

Victoria Kresse

  • Physician Assistant
  • Newton, NJ
National Provider Identifier
1962758649
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054547 Issued in PA
Practice address
Cardiology Associates of Sussex County
222 High Street Suite 205
Newton, NJ 07860-9605
Phone
(973) 579-2100
Fax
(973) 579-6638
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054547 PA Primary

Addresses

Primary practice location

Cardiology Associates of Sussex County
222 High Street Suite 205
Newton, NJ 07860-9605

Mailing address

222 High St Ste 205
Newton, NJ 07860-9605
Phone (973) 579-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150710002241 PA Practitioner - Physician Assistant 3971815499 Reassigns benefits to 2 organizations
I20200320001137 NJ Practitioner - Physician Assistant 3971815499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

111 E Catherine St
Suite 220
Milford, PA 18337-1348
Phone (570) 296-4500

222 High St
Suite 205
Newton, NJ 07860-9605
Phone (973) 579-2100

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054547PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital Pocono Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: victoria.kresse@cardiosc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1962758649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HIGH ST STE 205",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609605",
            "telephone_number": "973-579-2100",
            "fax_number": "973-579-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARDIOLOGY ASSOCIATES OF SUSSEX COUNTY",
            "address_2": "222 HIGH STREET SUITE 205",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609605",
            "telephone_number": "973-579-2100",
            "fax_number": "973-579-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSE",
        "first_name": "VICTORIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.