Healthcare Provider Details

I. General information

NPI: 1265299242
Provider Name (Legal Business Name): MRS. KATHERINE MAE FILIPPINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 ROUTE 37 W STE 1
TOMS RIVER NJ
08755-4999
US

IV. Provider business mailing address

79 GREENWOOD LOOP RD
BRICK NJ
08724-1262
US

V. Phone/Fax

Practice location:
  • Phone: 732-602-4480
  • Fax: 609-817-3276
Mailing address:
  • Phone: 201-920-6348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15023000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: