Healthcare Provider Details

I. General information

NPI: 1851218366
Provider Name (Legal Business Name): CAITLIN FARALLI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 OHIO AVE
ABSECON NJ
08201-2524
US

IV. Provider business mailing address

758 RAILROAD DR
LITTLE EGG HARBOR TWP NJ
08087-3638
US

V. Phone/Fax

Practice location:
  • Phone: 833-377-8474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15604300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: