Provider Demographics
NPI:1649677949
Name:KABAI, RITA (NP-C)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:KABAI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 N. WHITE HORSE PIKE
Mailing Address - Street 2:STE. B
Mailing Address - City:MAGNOLIA
Mailing Address - State:NJ
Mailing Address - Zip Code:08049-0001
Mailing Address - Country:US
Mailing Address - Phone:856-345-0444
Mailing Address - Fax:
Practice Address - Street 1:536 N. WHITE HORSE PIKE
Practice Address - Street 2:STE. B
Practice Address - City:MAGNOLIA
Practice Address - State:NJ
Practice Address - Zip Code:08049-0001
Practice Address - Country:US
Practice Address - Phone:856-345-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00516700363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care