Provider Demographics
NPI:1609453216
Name:CARATAO, CHERYL ELAINE (APN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ELAINE
Last Name:CARATAO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:CHERYL ELAINE
Other - Middle Name:SY
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3617
Mailing Address - Country:US
Mailing Address - Phone:732-667-3000
Mailing Address - Fax:
Practice Address - Street 1:17 1ST AVE
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3617
Practice Address - Country:US
Practice Address - Phone:732-667-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01097200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily