Provider Demographics
NPI:1669809273
Name:PONTIERI-LEWIS, VITTORIA ANN (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:VITTORIA
Middle Name:ANN
Last Name:PONTIERI-LEWIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:VITTORIA
Other - Middle Name:ANN
Other - Last Name:PONTIERI-LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:70 ELEANOR DR
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1818
Mailing Address - Country:US
Mailing Address - Phone:732-297-5244
Mailing Address - Fax:732-297-5244
Practice Address - Street 1:1 RWJ PL
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1928
Practice Address - Country:US
Practice Address - Phone:732-828-3000
Practice Address - Fax:732-418-8048
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-28
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNO81822364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical