Individual provider Active NPI

Ann Dalton Bagchi, PHD, DNP

  • Family Nurse Practitioner
  • North Brunswick, NJ
National Provider Identifier
1063935641
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00747200 Issued in NJ
Practice address
2204 US Highway 130 Ste C3
North Brunswick, NJ 08902-4805
Phone
(732) 821-5151
Fax
(732) 444-5955
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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 26NJ00747200 NJ Primary

Addresses

Primary practice location

2204 US Highway 130 Ste C3
North Brunswick, NJ 08902-4805

Mailing address

28 Garfield Ave
East Brunswick, NJ 08816-4752
Phone (201) 303-6101

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
I20180320003170 NJ Practitioner - Nurse Practitioner 4385906833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alla Katseva,MD,LLCGroup PAC ID 7315129798, 5 clinicians

Practice addresses (Care Compare)

561 Cranbury Rd
Suite L
East Brunswick, NJ 08816-5400
Phone (732) 238-8200

Hospital & facility affiliations

  • Rose Mountain Care Center Nursing home, New Brunswick, NJ, CCN 315384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 25 PC CurrentSince Nov 12, 2025 Accepting new patients
Alla Katseva,MD,LLC CurrentSince Jan 29, 2018 Accepting new patients
Rose Mountain Care Center, Inc. Past Accepting new patients
Consensus Medical Group LLC PastSince Apr 2, 2024 Accepting new patients

Locations

561 Cranbury Rd
Ste L
East Brunswick, NJ 08816
Phone (732) 238-8200

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1063935641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GARFIELD AVE",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164752",
            "telephone_number": "201-303-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 US HIGHWAY 130 STE C3",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024805",
            "telephone_number": "732-821-5151",
            "fax_number": "732-444-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGCHI",
        "first_name": "ANN",
        "middle_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "PHD, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00747200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.