Provider Demographics
NPI:1821348046
Name:FEELEY, KATARINA MALAIKA (FNP)
Entity type:Individual
Prefix:MRS
First Name:KATARINA
Middle Name:MALAIKA
Last Name:FEELEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:KATARINA
Other - Middle Name:MALAIKA
Other - Last Name:FEELEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:350 ENGLE STREET
Mailing Address - Street 2:1ST FLOOR MAIN BUILDING
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 ENGLE STREET
Practice Address - Street 2:1ST FLOOR MAIN BUILDING
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-0763
Practice Address - Country:US
Practice Address - Phone:201-894-3476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337003363LF0000X
NJ26NJ00434900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily