Active NPI 1275241853 Individual Practitioner Female Practitioner

Kerri Elmendorf

Nurse Practitioner - Pediatrics • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Kerri Elmendorf is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Hackensack, NJ. Practice services are available at 30 PROSPECT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011915

Telephone 5519962000

Fax 5519960859

Associated Practice Facility / Clinic

🏢 Hackensack University Medical Center Facility NPI 1609862036

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Hackensack, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

32 Specialists

Practicing in Hackensack, NJ (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-09

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NJ 26NJ01026200

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Lauren Carucci , NP-C

Nurse Practitioner - Adult Health

NPI 1003262064

Nurse Practitioner (Certified)

Jose Deschamps

Emergency Medicine

NPI 1003344920

Dr. Vanisha Patel , MD

Internal Medicine

NPI 1003505744

Doctor of Medicine (M.D.)

Dr. Tyler Chafitz , MD, MBA

Anesthesiology

NPI 1003565755

Doctor of Medicine (M.D.), Master of Business Administration

Irene Krawczyk , APN

Nurse Practitioner - Pediatrics

NPI 1013556067

Advanced Practice Nurse

Grace Reznikov

Student in an Organized Health Care Education/Training Program

NPI 1013856244

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 11, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2022

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519962000)

📍

Updated Business Mailing Address November 11, 2022

Registered at 510 WESTERN HWY, BLAUVELT, NY 109132011 (Tel: 8453239289)

👤

Provider Name / Credentials Updated November 11, 2022

Recorded as KERRI ELMENDORF

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2022

Nurse Practitioner (License #26NJ01026200 in NJ)

🟢

Initial NPI Registration & Enumeration November 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275241853

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 11, 2022

Last Update: November 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 Western Hwy

Blauvelt, NY 109132011

Phone: 8453239289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.