Individual provider Active NPI

Katrina Vitale

  • Family Nurse Practitioner
  • Middletown, NJ
National Provider Identifier
1154891869
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00960600 Issued in NJ
Practice address
1515 Route 35
Middletown, NJ 07748-1829
Phone
(732) 887-3212
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00960600 NJ Primary
Family Nurse Practitioner 363LF0000X 343795 NY

Addresses

Primary practice location

1515 Route 35
Middletown, NJ 07748-1829

Mailing address

443 Middlewood Rd
Middletown, NJ 07748-1333
Phone (732) 887-3212

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00960600OtherNJADVANCED PRACTICE NURSE, FAMILY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114000017 NJ Practitioner - Nurse Practitioner 4486089810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

270 Hwy 35
Red Bank, NJ 07701-5920
Phone (732) 842-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
343795NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Pain Care LLC CurrentSince Nov 18, 2019 Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince May 11, 2020 Accepting new patients
CPC Integrated Health, Inc. CurrentSince May 11, 2020 Accepting new patients
Kahn Dermatology, PLLC Past Accepting new patients
Usha Thomas Physician PC Past Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

670 N Beers St
Ste 4
Holmdel, NJ 07733
Phone (732) 664-6492

1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900

270 State Route 35
Red Bank, NJ 07701
Phone (732) 842-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16516/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1154891869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 MIDDLEWOOD RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481333",
            "telephone_number": "732-887-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481829",
            "telephone_number": "732-887-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00960600",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE, FAMILY",
            "identifier": "26NJ00960600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.