Provider Demographics
NPI:1588205009
Name:FILIPPELLI, CATHERINE (APN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:FILIPPELLI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 SALEM LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1038
Mailing Address - Country:US
Mailing Address - Phone:732-859-4045
Mailing Address - Fax:
Practice Address - Street 1:35 BROAD ST
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1267
Practice Address - Country:US
Practice Address - Phone:732-888-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-06
Last Update Date:2019-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00962700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily