IndividualActive
Kelly Cantisano
NPI 1265833859 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Ewing, NJ
Provider details
- NPI number
- 1265833859
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ00005800 (NJ)
Practice location
830 Bear Tavern Rd
Medop Behavioral Health Associates of Nj PC
Ewing, NJ 08628-1020
Phone: (973) 800-2655
Mailing address
830 Bear Tavern Rd
Ewing, NJ 08628-1020
Registry dates
- Enumerated
- 2014-09-15
- Last updated
- 2014-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.