Katelyn Claire Capodanno, APN | |
575 Route 28 Ste 3201, Raritan, NJ 08869-1363 | |
(908) 947-2712 | |
(908) 927-9832 |
Full Name | Katelyn Claire Capodanno |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 575 Route 28 Ste 3201, Raritan, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609623610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 26NR17744100 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ15099300 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Claire Capodanno, APN 465 South St Ste 103, Morristown, NJ 07960-6442 Ph: (908) 947-2712 | Katelyn Claire Capodanno, APN 575 Route 28 Ste 3201, Raritan, NJ 08869-1363 Ph: (908) 947-2712 |
Danica Anne De Guzman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 616 Lindner Ct, Raritan, NJ 08869 Phone: 908-400-6401 | |
Teresa Marie Mahoney, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28 Bldg B, Raritan, NJ 08869 Phone: 908-203-8825 | |
Radhika Mathew, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28 Ste 2100, Raritan, NJ 08869 Phone: 908-725-5530 Fax: 908-253-6559 | |
Kathryn M Vaccaro, RN MSN MA APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Us Highway 202, A150 Health Services, Raritan, NJ 08869 Phone: 908-218-8070 | |
Dr. Alivia Kowal, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28, Raritan, NJ 08869 Phone: 908-725-1802 | |
Mary Kenyon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28, Raritan, NJ 08869 Phone: 908-725-5530 | |
Amanda Megan Hansen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28 Ste 2100, Raritan, NJ 08869 Phone: 908-725-5530 Fax: 908-253-6559 |