Active NPIIndividual provider

Breanna M Vitolo

Nurse Anesthetist, Certified Registered in Livingston, New Jersey

NPI Number1154159283
Practice location
94 Old Short Hills RD, Livingston, NJ 07039-5672
Fax
—
Last updated
July 25, 2025

Breanna Marie Vitolo is a Nurse Anesthetist, Certified Registered based in Livingston, NJ. Breanna Marie Vitolo practices in Livingston, NJ. The NPI Number for Breanna Marie Vitolo is 1154159283 and holds a License No. 844719 (NY). The current practice location address for Breanna Marie Vitolo is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-322-5000.

Provider Profile Details

NPI Number
1154159283
Provider Name
Breanna Marie Vitolo
Provider Entity Type
Individual
Gender
Female
Address
94 Old Short Hills RD, Livingston, NJ 07039-5672
Phone Number
973-322-5000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2024
Last Update Date
July 25, 2025
Certification Date
July 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
Zip
07039-5672
Phone Number
973-322-5000
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
3 Maxie Ln
Sparta, NJ 07871-3153
City
Sparta
State
NJ
Zip
07871-3153
Phone Number
973-362-5993

License Information

License Number (1)
844719
License State (1)
NY
License Number (2)
1671513
License State (2)
CO
License Number (3)
26NR24110900
License State (3)
NJ
License Number (4)
26NJ15362400
License State (4)
NJ
Taxonomy (4)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (5)
RN1045171
License State (5)
DC

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Anesthetist, Certified Registered providers near Livingston, NJ

View all Nurse Anesthetist, Certified Registered providers in Livingston →

Frequently Asked Questions

What is the NPI number of Breanna M Vitolo?

The NPI number of Breanna M Vitolo is 1154159283. It was assigned on July 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Breanna M Vitolo?

Breanna M Vitolo is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NY under license number 844719.

Where does Breanna M Vitolo practice?

The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-322-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154159283 directly on the NPPES registry website.

Browse related providers