Provider Demographics
NPI:1851598569
Name:CAHILL, CATHLEEN (APN)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:CAHILL
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 1:3600 ROUTE 66
Mailing Address - Street 2:FL 3
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2605
Mailing Address - Country:US
Mailing Address - Phone:732-807-0809
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:182 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2026
Practice Address - Country:US
Practice Address - Phone:973-391-2960
Practice Address - Fax:973-391-2970
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05012100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics