# KRYSTIN PRASAD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780084251
- **Authorized official:** MRS. KRYSTIN J. PRASAD APN (OWNER)
- **Authorized official phone:** (848) 210-7151

## Contact information

- **Practice address:** 664 COMMONS WAY BLDG I, TOMS RIVER, NJ 08755-6431
- **Practice address phone:** (848) 210-7151
- **Practice address fax:** (848) 238-7424
- **Mailing address:** 664 COMMONS WAY, BUILDING I, TOMS RIVER, NJ 08755
- **Mailing address phone:** (848) 210-7151
- **Mailing address fax:** (848) 238-7424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00461700 | NJ | Yes |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 06/14/2023