Individual ProviderKaty Moll NdrenikaNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address901 W Main St, Freehold, NJ 07728-2537(954) 939-5589PECOS EnrollmentBased on the most recent information from CMS, provider Katy Moll Ndrenika does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336474519Provider TypeIndividualFull NameNdrenika, Katy MollTitleMrs.CredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date10/6/2009Last Updated2/8/2017Contact InformationPractice LocationPractice Address901 W Main St, Freehold, NJ 07728-2537Phone(954) 939-5589FaxUnlisted FaxMailing LocationMailing Address901 W Main St, Freehold, NJ 07728-2537PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NR18912100New JerseyCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense075368Connecticut