Individual provider Active NPI

Christina Masklee, APN

  • Gerontology Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1982292876
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ14972400 Issued in NJ
Practice address
155 Polifly Rd Ste 301
Hackensack, NJ 07601-1749
Phone
(201) 343-6360
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ14972400 NJ Primary

Addresses

Primary practice location

155 Polifly Rd Ste 301
Hackensack, NJ 07601-1749

Mailing address

155 Polifly Rd
Hackensack, NJ 07601-1758
Phone (201) 343-6360

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
I20240405000595 NJ Practitioner - Nurse Practitioner 7719325000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

155 Polifly Rd
Hackensack, NJ 07601-1758
Phone (201) 343-6364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

341 Broad St
Ste A
Clifton, NJ 07013

230 Sherman Ave
Ste A
Glen Ridge, NJ 07028
Phone (201) 989-5659

155 Polifly Rd
Fl 3
Hackensack, NJ 07601

3 University Plz
Ste 205
Hackensack, NJ 07601

155 Polifly Rd
Ste 301
Hackensack, NJ 07601
Phone (201) 343-6360

155 Polifly Rd
Hackensack, NJ 07601
Phone (201) 343-6360

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

222 Cedar Ln
Ste 201
Teaneck, NJ 07666
Phone (201) 530-1900

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1982292876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011758",
            "telephone_number": "201-343-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD STE 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011749",
            "telephone_number": "201-343-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKLEE",
        "first_name": "CHRISTINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14972400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.