Active NPI
Katrina Vitale
- Family Nurse Practitioner
- Middletown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00960600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00960600 | Other | NJ | ADVANCED 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 343795 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Pain Care LLC | Current | Accepting new patients | |
| CPC Behavioral Healthcare, Inc | Current | Accepting new patients | |
| CPC Integrated Health, Inc. | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Red Bank, NJ
- NPI 1366497356
-
- Pain Medicine (Anesthesiology) Physician
- Holmdel, NJ
- NPI 1801306956
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Matawan, NJ
- NPI 1912036120
-
- Dermatology Physician
- New York, NY
- NPI 1558557181
-
- Primary Care Clinic/Center
- Staten Island, NY
- NPI 1982077079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.