Active NPI
Catherine M Donovan, NP
- Nurse Practitioner
- Lafayette, NJ
National Provider Identifier
1285345926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01231800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01231800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topaz Bay Senior Health PC | Current | Accepting new patients | |
| Tapestry Telehealth PLLC | Nurse Practitioner | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hoboken, NJ
- NPI 1194518134
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
NJ, Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.