Leominda Modales Bathan, RN

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

License

26NO05521200 Issued in NJ

Practice address

331 Route 206
Hillsborough, NJ 08844-4781

Phone

(908) 685-2453

Fax

(908) 595-2605

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1063091338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444781",
            "telephone_number": "908-685-2453",
            "fax_number": "908-595-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444781",
            "telephone_number": "908-685-2453",
            "fax_number": "908-595-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHAN",
        "first_name": "LEOMINDA",
        "middle_name": "MODALES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NJ",
            "license": "26NO05521200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "minda.bathan@rwjbh.org",
            "affiliation": "N",
            "endpointDescription": "worl email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "331 Route 206",
            "city": "Hillsborough",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088444781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Nurse in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.