ROBERTA CATULLO (NPI# 1457907354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457907354 |
| Entity Type | Individual |
| Full Name | ROBERTA CATULLO |
| Credential | APN |
| Practice Address |
15000 Midlantic Dr Ste 102 Mount Laurel NJ 08054-1573 |
| Practice Telephone | 8568293457 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00854100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15000 MIDLANTIC DR STE 102 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952483349 | Denise Scaringe-dietrich | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2006-10-19 |
| 1285275735 | Kristin Elizabeth Andrews | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-10-07 |
| 1891347746 | Rachel Dubitsky | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-07-11 |
| 1669962304 | Pamela Rose Blatkiewicz | Registered Nurse | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2018-05-17 |
| 1275033003 | Lori Ann Huntsinger | Nurse Practitioner | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2018-02-19 |
| 1700300647 | Matthew Armand Bardales | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2017-08-02 |
| 1477937670 | Eastern States Pain Specialists Limited | Pain Medicine | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2015-07-17 |
| 1316216054 | Danielle Marie Butchko | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-12-27 |
| 1467740811 | Burhan Haleem | Pain Medicine | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-07-19 |
| 1992091888 | Steven Warren Mcgrath | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697188 | Lucy Joseph | Nurse Practitioner | 1102 Coventry Way, Mount Laurel, NJ 08054-6706 | 2020-07-30 |
| 1780687004 | Christine Adams Forward | Nurse Practitioner | 4510 Church Road, Mount Laurel, NJ 08054-2210 | 2005-05-31 |
| 1689170235 | Elsie A Jolade | Nurse Practitioner | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2018-04-03 |
| 1568993806 | Teresa Martone | Nurse Practitioner | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 | 2017-03-27 |
| 1487106290 | Beth Taylor | Nurse Practitioner | 4510 Church Rd, Mount Laurel, NJ 08054-2210 | 2016-10-27 |
| 1164846325 | Tiffany Fearon | Nurse Practitioner | 3110 Route 38, Mount Laurel, NJ 08054-9724 | 2014-02-08 |
| 1760770036 | Beverly Lynn Bongiorno | Nurse Practitioner | 1025 Briggs Rd, Suite 148, Mount Laurel, NJ 08054-4103 | 2011-07-20 |
| 1952600629 | Colleen Marie Strimel-parrish | Nurse Practitioner | 3110 Route 38, Mount Laurel, NJ 08054-9724 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1861093221 | Giacomina Carmela Sorezza | Nurse Practitioner | 267 Betsy Ross Dr, Freehold, NJ 07728-4223 | 2020-11-03 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
| 1093314015 | Olga Karpusyuk | Nurse Practitioner | 2 Wilson Lane, Metuchen, NJ 08840 | 2020-10-21 |
| 1447859848 | Eugenie Kottin Chetangie | Nurse Practitioner | 13 Rolling Rapids Ct, Hackettstown, NJ 07840-1736 | 2020-10-19 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1205434248 | Avraham Y Eisenman | Nurse Practitioner | 706 Passaic Ave, Clifton, NJ 07012-1847 | 2020-10-12 |
| 1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.