Provider Demographics
NPI:1821851304
Name:CATALANO, JOHN (APN)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CATALANO
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 SHORELINE RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8106
Mailing Address - Country:US
Mailing Address - Phone:609-576-4519
Mailing Address - Fax:
Practice Address - Street 1:68 SHORELINE RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08234-8106
Practice Address - Country:US
Practice Address - Phone:609-576-4519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01436900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner