MRS. PATRICIA KAKSTIS (NPI# 1548258155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548258155 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA KAKSTIS |
| Other Name | PATRICIA COYNE |
| Credential | APN,BC |
| Practice Address |
160 Route 9 Bayville NJ 08721-1229 |
| Practice Telephone | 7323495550 |
| Practice Fax Number | 7323496702 |
| Mailing Telephone | 7323495550 |
| Mailing Fax Number | 7323496702 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2013-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
26NC04404700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 116156 | 01 | |
| NJ | 6634800 | 05 |
| Street Address |
160 ROUTE 9 |
| City | BAYVILLE |
| State | NJ |
| Zip Code | 08721-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164471 | Karen A Nepsha | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2020-11-06 |
| 1235788597 | Virginia Gogarty | Social Worker | 160 Route 9, Bayville, NJ 08721-1229 | 2019-09-10 |
| 1770138844 | Oceanmhs Primary Care, Inc | Clinic/Center | 160 Route 9, Bayville, NJ 08721 | 2019-08-06 |
| 1912462268 | Ocean Mental Health Services Inc. | Clinic/Center | 160 Route 9, Bayville, NJ 08721-1229 | 2019-01-31 |
| 1225592892 | Danielle M Thompson | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2019-01-28 |
| 1114419579 | Lacey Jayne Holovacko | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2018-06-01 |
| 1376032839 | Mary Ellen Lopez | Registered Nurse | 160 Route 9, Bayville, NJ 08721-1229 | 2018-05-09 |
| 1417483637 | Reena Jayant Johnson | Counselor | 160 Route 9, Bayville, Bayville, NJ 08721-1229 | 2017-05-08 |
| 1265975593 | Krys Fitzgerald | Social Worker | 160 Route 9, Bayville, NJ 08721-1229 | 2016-11-17 |
| 1295183473 | Cara F Paolillo | Social Worker | 160 Route 9, Bayville, NJ 08721-1229 | 2016-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491469 | Caps Off LLC | Case Management | 6 Toppinglift Drive, Bayville, NJ 08721 | 2019-08-06 |
| 1336610682 | Edmond Osei Kankam | Pharmacist | 416 U.s 9, Bayville, NJ 08721 | 2018-12-16 |
| 1881083483 | Richard Foster II | Emergency Medical Technician, Basic | 660 Atlantic City Blvd, Bayville, NJ 08721 | 2015-01-20 |
| 1346640299 | Bayville First Aid Squad | Ambulance | 660 Route 9, Bayville, NJ 08721 | 2014-08-28 |
| 1982003893 | A-one Dental of Bayville LLC | Dentist | 800 Atlantic City Blvd, Bayville, NJ 08721 | 2014-08-15 |
| 1396028098 | Jaime Borrelli | Social Worker | 160 Rt 9, Bayville, NJ 08721 | 2011-09-20 |
| 1225348717 | Garret W Henshaw | Specialist/Technologist | Forest Hills Parkway, Bayville, NJ 08721 | 2010-10-18 |
| 1174839518 | Kenneth Zalenski | Pharmacist | 419 Atlantic City Blvd, Bayville, NJ 08721 | 2010-08-24 |
| 1154659324 | Norman Santo-domingo | Pediatrics | 800 Rte 9, Ste 4, Bayville, NJ 08721 | 2009-11-30 |
| 1700055670 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 Route 9, Bayville, NJ 08721 | 2008-02-26 |
| Find all providers in zip 08721 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119105 | Nancy Cursi-vogle | Clinical Nurse Specialist | 16 Kayser Ln, West Orange, NJ 07052-1151 | 2018-10-08 |
| 1841565801 | Well Path, LLC. | Clinical Nurse Specialist | 110 Sylvan Ave, Gloucester City, NJ 08030-1634 | 2012-03-09 |
| 1659543684 | Karen Angela Maxim | Clinical Nurse Specialist | 314 East State Street, Trenton, NJ 08608 | 2008-03-31 |
| 1225229321 | Wellness Group of New Jersey | Clinical Nurse Specialist | 400d Lake St, Suite 2, Ramsey, NJ 07446-1279 | 2007-08-05 |
| 1902027121 | Sue Kujalowicz | Clinical Nurse Specialist | 1935 Axton Ave, Union, NJ 07083 | 2007-05-02 |
| 1326261819 | Rosemarie G Marcus | Clinical Nurse Specialist | 240 Frisch Ct, Childrens Aid & Family Services Inc, Paramus, NJ 07652-5248 | 2007-04-11 |
| 1083762173 | Carol Joan Goldblatt I | Clinical Nurse Specialist | 117-119 Roosevelt Ave, Plainfield, NJ 07060 | 2007-01-08 |
| 1932277241 | Suzanne Drake | Clinical Nurse Specialist | 400 D Lake Street, Suite 2, Ramsey, NJ 07446-1243 | 2006-12-04 |
| 1740354554 | Mary Ann Lancaster | Clinical Nurse Specialist | 500 North Bridge Street, Richard Hall Community Mental Health Center, Bridgewater, NJ 08807 | 2006-11-20 |
| 1720178999 | Patricia Shadek | Clinical Nurse Specialist | 25 Lindsley Dr Ste 203, Morristown, NJ 07960 | 2006-10-16 |
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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.