Barbara Baggstrom, CPNP
Individual provider Active NPI Nurse Practitioner · Randolph, NJ
NPI 1104894989 · NPPES record last updated Jun 5, 2012
Key facts
- NPI
- 1104894989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00086700 (NJ)
- Practice address
- 765 Route 10 E
Ste 203
Randolph, NJ 07869-1925 - Phone
- (973) 659-9991
- Fax
- (973) 659-9632
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Plaza Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00086700 | NJ | Yes |
Addresses
Primary practice location
765 Route 10 E
Ste 203
Randolph, NJ 07869-1925
Mailing address
765 Route 10 E
Ste 203
Randolph, NJ 07869-1925
Phone (973) 659-9991
Other providers in Randolph, NJ
- Susan Arnold
- Fazila Aslam
- Aspire Within Psychotherapy, LLC
- Back Home Safely
- Preetmohinder Singh Bagga
- Alexandre Banhon
- Natalie Marie Barbaro
- Lisa Barmore
- Bernard Ivan Barrish
- Bernadette Barry
All providers in Randolph, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.