Individual provider Active NPI

Karla Vitug, APN

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1407564081
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01373600 Issued in NJ
Practice address
901 W Main St
Freehold, NJ 07728-2537
Phone
(173) 299-1416
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01373600 NJ Primary

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2537

Mailing address

597 Park Ave Ste a
Freehold, NJ 07728-2590
Phone (732) 252-1640

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 732-431-2000 Health Information Exchange (HIE) CentraState Medical Center, Inc

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
I20230221000230 NJ Practitioner - Nurse Practitioner 8022480052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians
Centrastate Medical Center Inc.Group PAC ID 9739125428, 8 clinicians

Practice addresses (Care Compare)

600 River Ave
FL 3
Lakewood, NJ 08701-5237
Phone (732) 886-4700

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 252-1648

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01373600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince Sep 18, 2025 Accepting new patients
Centrastate Medical Center, Inc CurrentSince Mar 1, 2023 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 4, 2025 Accepting new patients
Centrastate Medical Center Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

600 River Ave
Fl 3
Lakewood, NJ 08701
Phone (732) 886-4700

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: kvitug428335@direct.ahsys.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1407564081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 PARK AVE STE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282590",
            "telephone_number": "732-252-1640",
            "fax_number": "732-409-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "173-299-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITUG",
        "first_name": "KARLA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01373600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "732-431-2000",
            "affiliation": "Y",
            "endpointDescription": "main",
            "affiliationName": "CentraState Medical Center, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 W Main St",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.