Jaime Marie Loretta, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00280700 Issued in NJ

Practice address

242 Highway 79 N Ste 8
Morganville, NJ 07751-2079

Phone

(732) 443-0300

Fax

(551) 236-2510

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1346559374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VICTORIAN WAY",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222103",
            "telephone_number": "917-690-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 HIGHWAY 79 N STE 8",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512079",
            "telephone_number": "732-443-0300",
            "fax_number": "551-236-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORETTA",
        "first_name": "JAIME",
        "middle_name": "MARIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013366-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003663",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00280700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Skye Lockard, LAC
• Logistica Medica Amb of Mexico
• Peter L Lope, D.C.
• Stacey Lopis
• Allison Michelle Lorberg
• Callie Luftig, OT
• Emily Lurie, MS, CCC-SLP
• Angela Maio, L.C.S.W
• Cathie-Ann Mancuso, MD
• Mandadillc

• Medical Physician Assistant in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.