Individual provider Active NPI

Kathryn A Viggiani, C.N.M.

  • Midwife
  • Long Branch, NJ
National Provider Identifier
1063468320
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25ME00042100 Issued in NJ
Practice address
300 2ND Ave
Long Branch, NJ 07740-6303
Phone
(732) 923-7100
Fax
(732) 923-7104
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25ME00042100 NJ Primary

Addresses

Primary practice location

300 2ND Ave
Long Branch, NJ 07740-6303

Mailing address

PO Box 15378
Newark, NJ 07192-5378
Phone (732) 923-7100

Other identifiers 1

IdentifierTypeStateIssuer
0086681MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060117001085 NJ Practitioner - Certified Nurse Midwife (CNM) 7911921911 Reassigns benefits to 2 organizations
I20200324001966 NY Practitioner - Certified Nurse Midwife (CNM) 7911921911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00042100NJMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Nov 8, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 8, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 12, 2020 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Nov 21, 2016 Accepting new patients
Barnabas Health Medical Group, PC PastSince Jan 15, 2007 Accepting new patients
Visiting Nurse Association of Central Jersey, Community Health Center, Past Accepting new patients
Monmouth Family Health Center, Inc Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

597 Park Ave
Ste B
Freehold, NJ 07728
Phone (732) 294-2540

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

201 Lyons Ave
Ste L4
Newark, NJ 07112
Phone (973) 926-7205

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

100 State Route 36
Ste 2C
West Long Branch, NJ 07764
Phone (732) 229-3838

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: kathryn.viggiani.p1@direct.mfhcnj.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1063468320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15378",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925378",
            "telephone_number": "732-923-7100",
            "fax_number": "732-923-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-7100",
            "fax_number": "732-923-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGGIANI",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00042100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086681",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.