Healthcare Provider Details

I. General information

NPI: 1770067985
Provider Name (Legal Business Name): KATRINA CAMASTRA APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATRINA SAN JUAN

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
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

PO BOX 40409
BELFAST ME
04915-1255
US

V. Phone/Fax

Practice location:
  • Phone: 732-602-4480
  • Fax: 609-817-3276
Mailing address:
  • Phone: 248-824-6500
  • Fax: 855-618-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF09180953
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: