Kelly Cantisano
Kelly Cantisano is a Nurse Practitioner in Ewing, New Jersey. Qualified in 2001, 25 years ago. Practices with Barnabas Health Medical Group, PC, a 255-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 25
- Licensed in
- NJ
- In the registry since
- 2014
Practice location Address checks out
830 Bear Tavern Rd Medop Behavioral Health Associates Of Nj PcEwing, NJ 08628-1020
Phone: (973) 800-2655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Psychiatric/Mental Health Clinical Nurse Specialist (primary) | Taxonomy 364SP0809X · Licence 26NJ00005800 (NJ) |
|---|
Record details
| NPI number | 1265833859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 15, 2014 |
| Last updated in NPPES | September 15, 2014 |
| Mailing address | 830 Bear Tavern Rd, Medop Behavioral Health Associates Of Nj Pc, Ewing, NJ 08628-1020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Barnabas Health Medical Group, Pc — 255 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |