Basic Information
| Provider Information | |||||||||
| NPI: | 1407909914 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GAETA | ||||||||
| FirstName: | KATY | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 55 SCHANCK RD | ||||||||
| Address2: | SUITE 8A | ||||||||
| City: | FREEHOLD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077282964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324319544 | ||||||||
| FaxNumber: | 7324319313 | ||||||||
| Practice Location | |||||||||
| Address1: | 55 SCHANCK RD | ||||||||
| Address2: | SUITE 8A | ||||||||
| City: | FREEHOLD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077282963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324319544 | ||||||||
| FaxNumber: | 7324319313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 26NR06671400 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.