Dhanmatie Baldeo-Dat

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00486200 Issued in NJ

Practice address

836 Pavonia Ave
Jersey City, NJ 07306-3904

Phone

(201) 432-6011

NPI assigned

Apr 6, 2014

Last updated

Dec 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• NJ Gastro, LLC

  • Gastroenterology Physician
  • Newark, NJ
  • NPI 1851525661
  Medicare reassignment NPD
• North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • Secaucus, NJ
  • NPI 1043465057
  NPD (past)
• North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • Union City, NJ
  • NPI 1548626005
  NPD (past)
• North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • West New York, NJ
  • NPI 1659323442
  NPD (past)

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1104244177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-257-7038",
            "fax_number": "551-996-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PAVONIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063904",
            "telephone_number": "201-432-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDEO-DAT",
        "first_name": "DHANMATIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00486200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omerkiam Baksh, D.C.
• Balanced Mind Therapy
• Magalis A Balanquet
• Mary Annjo Moste Balbutin
• Shraddha Baldania
• Baldwin Physical Therapy, LLC
• Barjeta Balidemaj, DC
• Micah Camille Talusan Baluyot, ATC
• Rona Mae Baluyut, OTR/L
• Ana Banchs, LCSW

• Family Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.