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

Mr. Daniel William Kistner II

Individual provider Nurse Practitioner · NPI 1962993675

Mr. Daniel William Kistner II is a Nurse Practitioner in Clifton, New Jersey. Qualified in 2018, 8 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6 Brighton Rd
Clifton, NJ 07012-1647
Phone: (973) 777-7911
Fax: (862) 660-7038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00824700 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NR15967000 (NJ)

Record details

NPI number1962993675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clifton