Mr Daniel William Kistner Ii, | |
6 Brighton Rd, Clifton, NJ 07012-1647 | |
(973) 777-7911 | |
(862) 660-7038 |
Full Name | Mr Daniel William Kistner Ii |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 6 Brighton Rd, Clifton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962993675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NR15967000 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ00824700 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Entity Name | Elion Krok, M.d. Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124399308 PECOS PAC ID: 1850559840 Enrollment ID: O20120222000450 |
Mailing Address | Practice Location Address |
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Mr Daniel William Kistner Ii, 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Mr Daniel William Kistner Ii, 6 Brighton Rd, Clifton, NJ 07012-1647 Ph: (973) 777-7911 |
Mrs. Melissa Matina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Brighton Rd Ste 401, Clifton, NJ 07012 Phone: 973-777-7727 | |
Ms. Karen Ann Kattwinkel, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Fairmount Ave, Clifton, NJ 07011 Phone: 973-340-4911 | |
Mayra Joselyn Rodriguez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Martindale Rd # 1, Clifton, NJ 07013 Phone: 973-638-1107 | |
Sandy C Hussain, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 992 Clifton Ave, Clifton, NJ 07013 Phone: 862-249-1266 | |
Alena Debrosse, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16 Fairmount Ave, Clifton, NJ 07011 Phone: 516-312-9486 | |
Jennifer Enrique, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 716 Broad St, Suite 2a, Clifton, NJ 07013 Phone: 973-221-3122 Fax: 973-710-0620 | |
Bernadette Nepomuceno, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Parkview Ter Apt Suite, Clifton, NJ 07011 Phone: 203-606-3038 |