Provider Demographics
NPI:1144468893
Name:APPELLO, ANDREW (LAC, APN)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:APPELLO
Suffix:
Gender:M
Credentials:LAC, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VREELAND DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2620
Mailing Address - Country:US
Mailing Address - Phone:609-751-2793
Mailing Address - Fax:
Practice Address - Street 1:10 VREELAND DR STE 103
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2620
Practice Address - Country:US
Practice Address - Phone:609-751-2793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR16752400163W00000X
NJ26NJ00983300363LF0000X
NJ25MZ00055600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily