Kathryn M Vaccaro, RN MSN MA APN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00408100 Issued in NJ

Practice address

1001 US Highway 202
A150 Health Services
Raritan, NJ 08869-1424

Phone

(908) 218-8070

NPI assigned

Jan 11, 2013

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1609113521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LIVINGSTON RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081308",
            "telephone_number": "908-447-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 US HIGHWAY 202",
            "address_2": "A150 HEALTH SERVICES",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691424",
            "telephone_number": "908-218-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "RN MSN MA APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00408100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michela Thorn, PA-C
• Lisa Thottumari, MD
• Mary B Todd
• Richard J. Trenery, DPT CERT MDT
• Uplift Counseling & Wellness LLP
• Rama G Varatkar, MSPT
• Vardhman Management LLC (Drugs-Mart pharmacy dept)
• Caitlin Visco-Forde, LCSW
• Gary Joel Vorsanger, MD
• Katina Mary Vosinas, PT, DPT

• Adult Health Nurse Practitioner in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.