Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Cassiello

Individual provider Nurse Practitioner · NPI 1104300029

Katelyn Cassiello is a Nurse Practitioner in Clifton, New Jersey. Qualified in 2018, 8 years ago. Practices with Valley Physician Services PC, a 592-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

1030 Clifton Ave
Clifton, NJ 07013-3522
Phone: (973) 778-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00852200 (NJ)

Record details

NPI number1104300029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESJuly 4, 2022
Certification dateJuly 4, 2022
Mailing address1030 Clifton Ave, Clifton, NJ 07013-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Valley Physician Services Pc — 592 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clifton