Individual provider Active NPI

Catherine M Donovan, NP

  • Nurse Practitioner
  • Lafayette, NJ
National Provider Identifier
1285345926
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01231800 Issued in NJ
Practice address
82 NJ-15
Lafayette, NJ 07848
Phone
(973) 383-5052
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01231800 NJ Primary

Addresses

Primary practice location

82 NJ-15
Lafayette, NJ 07848

Mailing address

12 Silver Lake Rd
Stockholm, NJ 07460-1401
Phone (973) 296-1679

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL VitalityHealthnj.com Health Information Exchange (HIE)

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
I20230427001625 NJ Practitioner - Nurse Practitioner 1951766815 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01231800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topaz Bay Senior Health PC CurrentSince Aug 18, 2025 Accepting new patients
Tapestry Telehealth PLLC Nurse Practitioner CurrentSince Jan 18, 2023 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 2

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1285345926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SILVER LAKE RD",
            "city": "STOCKHOLM",
            "state": "NJ",
            "postal_code": "074601401",
            "telephone_number": "973-296-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NJ-15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-383-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01231800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "VitalityHealthnj.com",
            "affiliation": "N",
            "endpointDescription": "Workplace",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "82 nj-15",
            "city": "Lafayette",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

Verify at the official NPI Registry.