Provider Demographics
NPI:1760458111
Name:IORIATTI, LORI S (CPNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:S
Last Name:IORIATTI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 NEW PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2590
Mailing Address - Country:US
Mailing Address - Phone:908-233-3720
Mailing Address - Fax:908-301-5456
Practice Address - Street 1:6 SAND HILL RD STE 102
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4946
Practice Address - Country:US
Practice Address - Phone:908-782-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00013400363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ185977OtherAMERIGROUP
NJS51B01OtherEMPIRE
NJ221487148OtherUNITED HEALTHCARE
NJ60000812OtherHORIZON HEALTHCARE NJ
NJP2948392OtherOXFORD HEALTH PLANS
NJ221487148OtherDEVON HEALTHCARE
NJ01000763300OtherAMERICHOICE
NJ221487148OtherHORIZON BCBS
NJ221487148-020OtherQUALCARE
NJ5184880OtherCIGNA HEALTHCARE
NJ221487148OtherMULTIPLAN
NJ221487148OtherGREAT WEST
NJ3K3975OtherHEALTHNET