Healthcare Provider Details

I. General information

NPI: 1861309007
Provider Name (Legal Business Name): KAPL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 BRICK BLVD STE 105
BRICK NJ
08723-6105
US

IV. Provider business mailing address

503 BRICK BLVD STE 105
BRICK NJ
08723-6105
US

V. Phone/Fax

Practice location:
  • Phone: 848-201-9618
  • Fax:
Mailing address:
  • Phone: 848-201-9618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS JESSICA ELIZABETH SORRENTINO
Title or Position: OWNER/AUTHORIZED OFFICAL
Credential: APN-BC
Phone: 848-201-9618