1972973063 NPI number — MS. KATHARINE MARY ROBITZSKI APN

Table of content: MS. KATHARINE MARY ROBITZSKI APN (NPI 1972973063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972973063 NPI number — MS. KATHARINE MARY ROBITZSKI APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBITZSKI
Provider First Name:
KATHARINE
Provider Middle Name:
MARY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NESTER
Provider Other First Name:
KATHARINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972973063
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
34 HILL ST APT 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07960-5362
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-274-9490
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1105 ROUTE 46
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEDGEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07852-9748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-927-4662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2015

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: 363LF0000X , with the licence number:  26NJ00593700 , 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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