Individual provider Active NPI

Kelly W Murakata, AGNP-BC

  • Primary Care Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1992076640
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00607000 Issued in NJ
Practice address
28 Valley Rd # 148
Montclair, NJ 07042-2709
Phone
(201) 273-7047
Fax
(609) 998-4358
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00607000 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00607000 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00607000 NJ Primary

Addresses

Primary practice location

28 Valley Rd # 148
Montclair, NJ 07042-2709

Mailing address

18 Victor Ave
Eatontown, NJ 07724-1321
Phone (732) 337-0220

Other practice location 1

10A Main St
Eatontown, NJ 07724-3413
Phone (877) 606-7333

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
I20160209000743 NJ Practitioner - Nurse Practitioner 9537463716 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00607000NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of NJ PC CurrentSince Oct 15, 2020 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Jul 1, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Jul 1, 2025 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Sep 18, 2023 Accepting new patients
Matawan Aberdeen Heart & Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Sep 18, 2023 Accepting new patients

Locations

120 Park End Pl
East Orange, NJ 07018
Phone (973) 447-8882

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

177 Main St
Matawan, NJ 07747
Phone (732) 566-6614

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

1268 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 602-4480

Interoperability endpoints

  • Direct secure messaging: kmurakata@direct.meditouchehr.com

Organizations & group practices 7

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1992076640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 VICTOR AVE",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241321",
            "telephone_number": "732-337-0220",
            "fax_number": "732-389-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD # 148",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "201-273-7047",
            "fax_number": "609-998-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10A Main St",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077243413",
            "country_code": "US",
            "telephone_number": "877-606-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURAKATA",
        "first_name": "KELLY",
        "middle_name": "W",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00607000",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00607000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00607000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.