Basic Information
Provider Information
NPI: 1841598554
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARATKA
FirstName: ASHLEY
MiddleName: H.
NamePrefix:  
NameSuffix:  
Credential: F.N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ROGERS
OtherFirstName: ASHLEY
OtherMiddleName: H.
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: F.N.P.
OtherLastNameType: 1
Mailing Information
Address1: 750 BRUNSWICK AVE
Address2: BUILDING 5, SUITE 208
City: TRENTON
State: NJ
PostalCode: 086384143
CountryCode: US
TelephoneNumber: 6098157829
FaxNumber: 6098157894
Practice Location
Address1: 1445 WHITEHORSE MERCERVILLE ROAD
Address2: SUITE 103
City: HAMILTON
State: NJ
PostalCode: 086193834
CountryCode: US
TelephoneNumber: 6095876661
FaxNumber: 6095878503
Other Information
ProviderEnumerationDate: 03/03/2011
LastUpdateDate: 01/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X26NJ00321000NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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