Individual ProviderCrystal HardieNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressOne Robert Wood Johnson Place, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901-1928(732) 235-6968PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Hardie is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1669809760Provider TypeIndividualFull NameHardie, CrystalTitleMs.CredentialAPBGenderFemaleSole ProprietorNoEnumeration Date10/3/2013Last Updated10/3/2013Contact InformationPractice LocationPractice AddressOne Robert Wood Johnson Place, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901-1928Phone(732) 235-6968FaxUnlisted FaxMailing LocationMailing AddressOne Robert Wood Johnson Place, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901-1928Phone(732) 235-6968FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00438200New JerseyCode163WG0000XDescriptionRegistered NurseNursing Service ProvidersLicense26NR13325800New Jersey