Individual provider Active NPI

Liza Mari Spitaletto, RN

  • Registered Nurse First Assistant
  • Livingston, NJ
National Provider Identifier
1073747580
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NO12429100 Issued in NJ
Practice address
201 S Livingston Ave
Suite 2G
Livingston, NJ 07039-4043
Phone
(973) 716-9716
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 26NO12429100 NJ Primary

Addresses

Primary practice location

201 S Livingston Ave
Suite 2G
Livingston, NJ 07039-4043

Mailing address

201 S Livingston Ave
Suite 2G
Livingston, NJ 07039-4043
Phone (973) 716-9716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO12429100NJMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Ear Nose and Throat & Facial Plastic Surgery PA PastSince Feb 20, 2024 Accepting new patients

Organizations & group practices 1

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1073747580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2G",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-716-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2G",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-716-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALETTO",
        "first_name": "LIZA MARI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO12429100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.