MRS. PATRICIA A KRAYCINOVICH (NPI# 1497269625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497269625 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA A KRAYCINOVICH |
| Credential | NP |
| Practice Address |
401 S Van Brunt St Ste 400 Englewood NJ 07631-4604 |
| Mailing Address |
210 Colonial Rd Emerson NJ 07630-1452 |
| Practice Telephone | 2015690555 |
| Practice Fax Number | 2015690555 |
| Mailing Telephone | 2014838044 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00774100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00774100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 S VAN BRUNT ST STE 400 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027114 | Beatrice Carrillo | Nurse Practitioner | 145 S Dean St, Englewood, NJ 07631-3513 | 2016-08-13 |
| 1700225547 | Joan Feil | Nurse Practitioner | 10460 E Aberdeen Ave, Englewood, CO 80111-5478 | 2013-06-14 |
| 1639428857 | Karen A Voorhees | Nurse Practitioner | 140 Grand Avenue, Englewood, NJ 07631 | 2012-09-04 |
| 1700108016 | Hannah H Langberg | Nurse Practitioner | 458 Westview Ave, Englewood, NJ 07631-5105 | 2010-02-28 |
| 1225260045 | Marjory D'haiti Despinos | Nurse Practitioner | 132 Pleasant Ave, Englewood, NJ 07631-1604 | 2009-08-12 |
| 1154550465 | Stacey Michelle Mitchell | Nurse Practitioner | 601 E Hampden Ave Ste 560, Englewood, CO 80113-3899 | 2009-07-08 |
| 1154597540 | Rachel Patricia Capuyan-killip | Nurse Practitioner | 117 E Sheffield Ave, Englewood, NJ 07631-4915 | 2008-05-05 |
| 1255967436 | Burcu Erdil | Nurse Practitioner | 54 S Dean St, Englewood, NJ 07631-3514 | 2020-03-19 |
| 1992299226 | Kaitlyn A Lee | Nurse Practitioner | 499 E Hampden Ave Ste 360, Englewood, CO 80113-3877 | 2018-06-20 |
| 1336639004 | Janelle M. Aquino | Nurse Practitioner | 350 Engle St, Englewood, NJ 07631-1808 | 2018-05-17 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.