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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ00321000 | NJ | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.