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

NPI Status: Active since December 20, 2023

Contact Information

640 EAGLE ROCK AVE STE 6
WEST ORANGE, NJ
ZIP 07052
Phone: (848) 801-9248

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About KRYSTITE CARE LLC

This page provides the complete NPI Profile along with additional information for Krystite Care Llc, a provider established in West Orange, New Jersey operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1972371888 assigned on December 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Christopher Tikum (Owner/apn)

NPI
1972371888
Provider Name
KRYSTITE CARE LLC
Entity Type
Organization
Location Address
640 EAGLE ROCK AVE STE 6 WEST ORANGE, NJ 07052
Location Phone
(848) 801-9248
Mailing Address
28 JOHNSON RD WEST ORANGE, NJ 07052
Mailing Phone
(848) 801-9248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2023
Last Update Date
08-08-2024
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A nurse practitioner (NP) like Krystite Care Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 270 11th Ave
    Newark, NJ 07103
    (848) 801-9248

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER TIKUM

Authorized Official Title
OWNER/APN
Authorized Official Phone
(848) 801-9248

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972371888
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142672816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 6 + 7 + 2 + 8 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1972371888 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972371888, enumerated as an "organization" on December 20, 2023.

The provider is located at 640 EAGLE ROCK AVE STE 6 WEST ORANGE, NJ 07052 and the phone number is (848) 801-9248.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.