Individual provider Active NPI

Ashley Bartolome, NP

  • Family Nurse Practitioner
  • Mullica Hill, NJ
National Provider Identifier
1033891817
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14885900 Issued in NJ
Practice address
4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441
Phone
(856) 241-3838
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14885900 NJ Primary

Addresses

Primary practice location

4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441

Mailing address

4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441
Phone (856) 241-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927001874 NJ Practitioner - Nurse Practitioner 4486008232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of New Jersey, P.C.Group PAC ID 1456898956, 13 clinicians

Practice addresses (Care Compare)

818 Haddonfield Rd
Suite D
Cherry Hill, NJ 08002-2608
Phone (640) 230-7338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology of South Jersey CurrentSince Sep 1, 2023 Accepting new patients
Ivx Health of New Jersey, P.C. CurrentSince Sep 16, 2024 Accepting new patients
Custom Sleep Therapies PC PastSince Aug 6, 2023 Accepting new patients

Locations

818 Haddonfield Rd
Ste D
Cherry Hill, NJ 08002
Phone (640) 230-7338

1203 Nixon Dr
Ste 211
Moorestown, NJ 08057

4 Burton Ln
Ste 100
Mullica Hill, NJ 08062
Phone (856) 241-3838

501 N Route 17
Unit 10
Paramus, NJ 07652
Phone (551) 227-2824

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1033891817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURTON LN STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-241-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURTON LN STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-241-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOME",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14885900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.