KATELYN MARIE LUTER


Address: 870 Palisade Ave Ste 302, Teaneck, NJ 07666-3446
Phone: 2018369696

KATELYN MARIE LUTER (NPI# 1770923336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770923336
Entity Type Individual
Full Name KATELYN MARIE LUTER
Credential NP
Practice Address 870 Palisade Ave Ste 302
Teaneck
NJ 07666-3446
Practice Telephone 2018369696
Practice Fax Number 2018364716
Mailing Telephone 2018369696
Mailing Fax Number 2018364716
Enumeration Date 2013-06-27
Last Update Date 2017-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
26-NJ00447300 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 870 PALISADE AVE STE 302
City TEANECK
State NJ
Zip Code 07666-3446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871153338 Olesya Ilashuk Nurse Practitioner 870 Palisade Ave Ste 302, Teaneck, NJ 07666-3446 2019-06-17

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NPI Name Taxonomy Address Enumeration
1265047096 Erica Marie Edmondson Massage Therapist 780 New Bridge Rd., Teaneck, NJ 07666 2020-09-09
1609489772 Bushra Ali Specialist/Technologist, Other 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 2020-08-28
1043870108 Etti Miriram Hochberg Schaap Social Worker Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 2019-06-19
1003309428 Holy Name Medical Center Inc Pharmacy 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 2018-06-11
1619494150 Synergy Homecare of Bergen County In Home Supportive Care 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 2017-08-25
1811419278 Genara O Ortiz Specialist 195 Sherman Ave., Teaneck, NJ 07666 2017-07-07
1689103061 Carmeliza Ronquillo Gonzalo Specialist 836 Williams Avenue, Teaneck, NJ 07666 2017-06-08
1356875934 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1014 Palisade Avenue, Teaneck, NJ 07666 2017-04-20
1902358427 Tamar Danzger Social Worker 530 Ogden Ave, Teaneck, NJ 07666 2016-11-01
1376093724 Walgreen Co Durable Medical Equipment & Medical Supplies 520 Cedar Ln, Teaneck, NJ 07666 2016-10-10
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578000550 Mary Grace M. Tolentino Nurse Practitioner 618 Tilden Ave, Teaneck, NJ 07666-1846 2017-01-27
1568816403 Ryan Hernandez Nurse Practitioner 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 2016-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730780479 Mae Lynne Tietje Nurse Practitioner 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 2020-11-07
1710586987 Rosemarie B Londono Nurse Practitioner 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 2020-10-20
1063010940 Shruti Satish Patel Nurse Practitioner 78 Diana Dr, South Plainfield, NJ 07080-4437 2020-10-13
1366049058 Sedrina Taina Austin Nurse Practitioner 82 Poplar Ave, Hackensack, NJ 07601-4707 2020-10-06
1952912768 Holly M Gonzalez Nurse Practitioner 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 2020-08-14
1073124327 Queen K Aggrey Nurse Practitioner 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 2020-08-11
1497365480 Ann Margaret Prejs Nurse Practitioner 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 2020-08-04
1164046355 Barbara Raymond Nurse Practitioner 776 Nixon Rd, Union, NJ 07083-7620 2020-06-03
1871112557 Care First-choice Nurse Practitioner 302 Harrison Ave, Millville, NJ 08332-2408 2020-04-13
1568081461 Melissa N Pagan Nurse Practitioner 128 Maple St, Jersey City, NJ 07304-3733 2020-04-10
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Competitor

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City TEANECK
Zip Code 07666

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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