1023455599 NPI number — CATHERINE ELIZABETH KASIAN MSN, ACNP-BC

Table of content: CATHERINE ELIZABETH KASIAN MSN, ACNP-BC (NPI 1023455599)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023455599 NPI number — CATHERINE ELIZABETH KASIAN MSN, ACNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KASIAN
Provider First Name:
CATHERINE
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, ACNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHALTIS
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, ACNP-BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023455599
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 TICONDEROGA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BORDENTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08505-2513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
770 LIGHTHOUSE DR STE 140-A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARNEGAT
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08005-2373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-924-7151
Provider Business Practice Location Address Fax Number:
732-923-2278
Provider Enumeration Date:
05/23/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X , with the licence number:  26NJ00436400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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