| Mrs Katrina Vitale, | |
|
1515 Route 35, Middletown, NJ 07748-1829 | |
| (732) 887-3212 | |
| Not Available |
| Full Name | Mrs Katrina Vitale |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1515 Route 35, Middletown, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154891869 | NPI | - | NPPES |
| 26NJ00960600 | Other | NJ | ADVANCED PRACTICE NURSE, FAMILY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00960600 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 343795 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cpc Behavioral Healthcare Inc | 3971593161 | 60 |
| Entity Name | Cpc Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366497356 PECOS PAC ID: 3971593161 Enrollment ID: O20040518000822 |
| Entity Name | Liberty Pain Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801306956 PECOS PAC ID: 9537433750 Enrollment ID: O20170926003106 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katrina Vitale, 443 Middlewood Rd, Middletown, NJ 07748-1333 Ph: (732) 887-3212 | Mrs Katrina Vitale, 1515 Route 35, Middletown, NJ 07748-1829 Ph: (732) 887-3212 |
Wendy Devirgiliis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Karyn Ter W, Middletown, NJ 07748 Phone: 732-832-5540 | |
Danielle J Alexieff, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Woodridge Ave, Middletown, NJ 07748 Phone: 908-902-9058 | |
Mrs. Jessica Elana Domb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Red Hill Rd, Middletown, NJ 07748 Phone: 848-225-6265 | |
Ms. Carolanne Rincon, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Red Hill Rd, Middletown, NJ 07748 Phone: 848-800-5913 Fax: 201-691-6676 | |
Dianne H. Drum, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Leonardville Rd, Middletown, NJ 07748 Phone: 732-671-0860 Fax: 732-671-6467 | |
Kristy Wasserman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Red Hill Rd, Middletown, NJ 07748 Phone: 718-655-8986 |