| Ms Kristen Ennis, FNP-C | |
|
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
| (551) 996-4078 | |
| (551) 996-4140 |
| Full Name | Ms Kristen Ennis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689006272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00453200 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00453200 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital | New brunswick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Scleroderma Program | 5193764991 | 390 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Robert Wood Johnson Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848625 PECOS PAC ID: 8628065117 Enrollment ID: O20040427001205 |
| Entity Name | Rutgers Health-rwj Scleroderma Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679655781 PECOS PAC ID: 5193764991 Enrollment ID: O20050502000326 |
| Entity Name | Hackensack Meridian Health Medical Group - Complex Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristen Ennis, FNP-C 51 Woodcrest Dr, Woodcliff Lake, NJ 07677-7629 Ph: (845) 304-4459 | Ms Kristen Ennis, FNP-C 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-4078 |
Laura Lorraine Mckenna, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave Bldg Pc218, Hackensack, NJ 07601 Phone: 551-996-5362 |
Mrs. Lauren Anne Carucci, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |
Michael Anthony Williams-healy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Polifly Rd, Hackensack, NJ 07601 Phone: 201-343-6360 |
Alexandra Schulsinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 92 Summit Ave, Hackensack, NJ 07601 Phone: 201-342-0066 |
Breeana Dickson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 University Plz Ste 204, Hackensack, NJ 07601 Phone: 973-435-9463 |
Ms. Lauren Mary Canciani, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |
Ms. Elizabth Anne Bilotti, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect Ave, The Cancer Center At Hackensack University Medical Ctr., Hackensack, NJ 07601 Phone: 201-996-5900 |