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

Santa Crisall, RN

Individual provider Gerontology Nurse Practitioner · NPI 1952356149

Santa Crisall, RN is a Nurse Practitioner in Newark, New Jersey. Qualified in 1984, 42 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
42
Licensed in
NJ
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

495 N 13th St
Newark, NJ 07107-1317
Phone: (973) 268-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence NN71590 (NJ)

Record details

NPI number1952356149
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJuly 13, 2026
Certification dateSeptember 25, 2020
Mailing address222 Kinderkamack Rd, Oradell, NJ 07649-2259

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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