Provider Demographics
NPI:1922851518
Name:LITOS, MONICA HIPATIA (DNP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:HIPATIA
Last Name:LITOS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 VINE ST FL 1
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-1907
Mailing Address - Country:US
Mailing Address - Phone:908-403-7029
Mailing Address - Fax:
Practice Address - Street 1:217 VINE ST FL 1
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1907
Practice Address - Country:US
Practice Address - Phone:908-403-7029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15053100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty