KRYSTITE CARE LLC
NPI 1972371888
Nurse Practitioner - Psychiatric/Mental Health in West Orange, NJ

Q: What is Krystite Care LLC's NPI number?

The NPI number for Krystite Care LLC is 1972371888. It was assigned to this organization in the NPPES registry on December 20, 2023.

Q: What is Krystite Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Krystite Care LLC was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2023

640 EAGLE ROCK AVE STE 6, WEST ORANGE, NJ 07052(848) 801-9248 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Krystite Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTITE CARE LLC (NPI 1972371888) is a healthcare organization registered as a psychiatric/mental health in West Orange, New Jersey and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Newark and lists Christopher Tikum, Owner/apn, as its authorized official.

NPPES Registry Identity

NPI1972371888

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameKRYSTITE CARE LLC

Location Address640 EAGLE ROCK AVE STE 6West Orange, NJ 07052-2931

Mailing Address28 Johnson RdWest Orange, NJ 07052-3556 · (848) 801-9248

Phone(848) 801-9248

Organization SubpartNo

Authorized OfficialChristopher TikumOwner/apn · (848) 801-9248

Enumeration DateDecember 20, 2023

Last NPPES UpdateAugust 8, 2024

NPPES CertifiedAugust 8, 2024

✔ NPI 1972371888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

640 EAGLE ROCK AVE STE 6, West Orange, NJ 07052

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Secondary Practice Location 1

Location 1270 11th AveNewark, NJ 07103-1303 · Phone (848) 801-9248

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystite Care LLC's NPI number?

The NPI number for Krystite Care LLC is 1972371888. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is Krystite Care LLC located?

Krystite Care LLC is located at 640 Eagle Rock Ave Ste 6, West Orange, NJ 07052. The listed phone number is (848) 801-9248.

What is Krystite Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Krystite Care LLC was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.