KRYSTEN WONDRACK (NPI# 1508324575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508324575 |
| Entity Type | Individual |
| Full Name | KRYSTEN WONDRACK |
| Practice Address |
92 Summit Ave Hackensack NJ 07601-1263 |
| Practice Telephone | 2013420066 |
| Mailing Telephone | 5512655556 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25NJ00881700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
92 SUMMIT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114027885 | North Jersey Internal Medicine PC | Internal Medicine | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2006-09-23 |
| 1093352510 | Eulalia Leon | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-12-03 |
| 1164074746 | Stephanie Y Kim | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-07-12 |
| 1760945299 | Linda Davt | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-04-11 |
| 1912466939 | Sofia Anna Skulsky | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-03-19 |
| 1083171177 | Vanessa Arias | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-02-25 |
| 1487105177 | Alison Barria | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2016-10-18 |
| 1609248756 | Heather Gentile Rdn LLC | Clinic/Center | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2015-10-28 |
| 1790157840 | Alyson Flaker, Rdn LLC | Clinic/Center | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2015-10-28 |
| 1831567098 | Jennifer Bahdi | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2015-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629367 | Toni Tortorella Genova | Nurse Practitioner | 75 Essex St Ste 100, Hackensack, NJ 07601-4034 | 2018-12-04 |
| 1780103580 | Irina Gavdanovich | Nurse Practitioner | 170 Prospect Ave Ste 1, Hackensack, NJ 07601-1834 | 2017-09-12 |
| 1952735847 | Laura B Maccone | Nurse Practitioner | 20 Prospect Ave Ste 602, Hackensack, NJ 07601-1962 | 2013-08-27 |
| 1891031530 | April Quatrano | Nurse Practitioner | 457 Blanchard Ter Apt 4, Hackensack, NJ 07601-1452 | 2012-12-28 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1497389407 | Hannah Helms Rigney | Nurse Practitioner | 92 2nd St, Hackensack, NJ 07601-2191 | 2020-02-28 |
| 1821638388 | Karla Oliveri | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-01-13 |
| 1770124828 | Maria Christina Zayas | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2019-09-30 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on KRYSTEN WONDRACK.
| 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.