MEDICARE: CATHERINE ELIZABETH KASIAN MSN, ACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	26NJ00436400	NJ

General Provider Information

NPI Number	:	1023455599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ELIZABETH KASIAN MSN, ACNP-BC

Provider Business Mailing Address
First Line	:	9 TICONDEROGA DR
Second Line	:
City	:	BORDENTOWN
State	:	NJ
Zip	:	08505-2513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 LIGHTHOUSE DR STE 140-A
Second Line	:
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-2373
Country	:	US
Telephone Number	:	732-924-7151
Fax Number	:	732-923-2278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2013
Last Update Date	:	02/09/2026

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