Active NPI
Judith Ann Haystrand, RN, APN,C
- Acute Care Nurse Practitioner
- Hackensack, NJ
National Provider Identifier
1972603082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00040400
- Practice address
- 20 Prospect Ave
Hackensack, NJ 07601-1997 - Phone
- (201) 646-0110
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00040400 | NJ | Primary |
Addresses
Primary practice location
20 Prospect Ave
Hackensack, NJ 07601-1997
Mailing address
25 Boulevard
Westwood, NJ 07675-2042
Phone (201) 594-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00040400 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSD NJ Medical LLC | Past | Accepting new patients | |
| BSD Nephrology and Hypertension PA | Past | Accepting new patients |
Interoperability endpoints
- judith.haystrand.1@24719.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Hackensack, NJ
- NPI 1295104321
-
- Nephrology Physician
- Hackensack, NY
- NPI 1720016041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972603082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BOULEVARD",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076752042",
"telephone_number": "201-594-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011997",
"telephone_number": "201-646-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYSTRAND",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN, APN,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00040400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.