Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Cristin Ashley Famularo, APN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164655486

Miss. Cristin Ashley Famularo, APN is a Nurse Practitioner in Bloomfield, New Jersey. Qualified in 2009, 17 years ago. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2009
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

17 Lackawanna Pl 412
Bloomfield, NJ 07003-2955
Phone: (201) 913-7146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00201200 (NJ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 26NJ00201200 (NJ)

Record details

NPI number1164655486
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 2, 2009
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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