Lauren A Vitolo, MS,PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00125000 Issued in NJ

Practice address

128 Columbia Tpke
Suite 200
Florham Park, NJ 07932-2283

Phone

(973) 736-9535

Fax

(973) 736-2607

NPI assigned

Apr 18, 2006

Last updated

Dec 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Rapaport,MD,PAGroup PAC ID 2062510977, 5 clinicians

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Rapaport,MD,PA

  • Procedural Dermatology Physician
  • Englewood Cliffs, NJ
  • NPI 1184777427
  Medicare reassignment Care Compare group
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group
• Center for Dermatology PA

  • Dermatology Physician
  • Florham Park, NJ
  • NPI 1073646212
  Medicare reassignment
• Sovereign Medical Group LLC

  • Urology Physician
  • Oradell, NJ
  • NPI 1710282082
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1396700100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COLUMBIA TPKE",
            "address_2": "SUITE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322283",
            "telephone_number": "973-736-9535",
            "fax_number": "973-736-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 COLUMBIA TPKE",
            "address_2": "SUITE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322283",
            "telephone_number": "973-736-9535",
            "fax_number": "973-736-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITOLO",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "MS,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00125000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "223777703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Ventola, APN
• Nellie Vial
• Mary J Vignali, AGNP-C
• Daniel Villarroel, LCSW, LCADC
• Ronald L Viscuso, M.D.
• Margaret Vlazny, MSW, LCSW
• Voices for Recovery
• Patra Vongsoasup
• Shivani Vyas, DPT
• Jessica Lynn Wagner, AU.D

• Medical Physician Assistant in Florham Park, NJ
• Providers in Florham Park, 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 Dec 5, 2012; 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.

Verify at the official NPI Registry.