Individual ProviderJenna VitoloPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2100 Corlies Avenue, Suite 15, Neptune City, NJ 07753-6102(732) 988-2882PECOS EnrollmentBased on the most recent information from CMS, provider Jenna Vitolo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1689213332Provider TypeIndividualFull NameVitolo, JennaCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date12/29/2019Last Updated1/27/2026Contact InformationPractice LocationPractice Address2100 Corlies Avenue, Suite 15, Neptune City, NJ 07753-6102Phone(732) 988-2882FaxUnlisted FaxMailing LocationMailing Address2100 Corlies Avenue, Suite 15, Neptune City, NJ 07753-6102PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer