MEDICARE: MRS. KAITLYN ERRIGO APN

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	363LA2200X	Adult Health Nurse Practitioner	26NJ00838700	NJ
2	363L00000X	Nurse Practitioner	26NR15260500	NJ

General Provider Information

NPI Number	:	1336626480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAITLYN ERRIGO APN

Provider Business Mailing Address
First Line	:	600 RIVER AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5237
Country	:	US
Telephone Number	:	732-886-4700
Fax Number	:	732-886-4705

Provider Business Practice Location Address
First Line	:	242 VANDERVEER PL
Second Line	:
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740-7335
Country	:	US
Telephone Number	:	732-245-5446
Fax Number	:

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

Provider Enumeration Date	:	07/22/2018
Last Update Date	:	02/04/2026

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