KRISTINA SACCO (NPI# 1770067514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770067514 |
| Entity Type | Individual |
| Full Name | KRISTINA SACCO |
| Other Name | KRISTINA BOLTON |
| Practice Address |
2201 Chapel Ave W Cherry Hill NJ 08002-2048 |
| Mailing Address |
151 Fries Mill Rd Ste 301 Turnersville NJ 08012-2016 |
| Practice Telephone | 8564886500 |
| Mailing Telephone | 8565134124 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00856900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0652181 | 05 |
| Street Address |
2201 CHAPEL AVE W |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108156 | Joseph J. Delaurentis | Radiology | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2005-07-19 |
| 1689207110 | Andrea Bookoff | Dietitian, Registered | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2020-02-12 |
| 1841837168 | Arlene Rose Alinea Dobbins | Family Medicine | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-12-05 |
| 1275177172 | Marla Ikalina | Social Worker | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-11-04 |
| 1578021358 | Rebecca Marie Reit | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-03-11 |
| 1922578095 | Jennifer Patridge | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-11-30 |
| 1598232399 | Edward Kevin Beatty | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-10-30 |
| 1467928341 | Natalie Rae Mannion | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-10-18 |
| 1417445339 | Gina Marie Mariani | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-04-26 |
| 1780195057 | Stephanie Eisenstein | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2017-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014294 | Joseph William Lever | Nurse Practitioner | 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945 | 2020-02-12 |
| 1982241378 | Kristin Dick | Nurse Practitioner | 63 Kresson Rd Ste 104, Cherry Hill, NJ 08034-3200 | 2019-12-04 |
| 1376003137 | Jacquelyn Christine Ross | Nurse Practitioner | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2019-03-20 |
| 1316482771 | Tonya Michelle Hughley | Nurse Practitioner | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2016-12-21 |
| 1285695023 | Joanne Luczak-marzo | Nurse Practitioner | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.