Individual provider Active NPI

Nirmala Ratnam Baskar, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1114391489
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00546500 Issued in NJ
Practice address
194 Broad St
Bloomfield, NJ 07003-2606
Phone
(973) 748-5700
Fax
(973) 748-5300
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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 26NJ00546500 NJ Primary

Addresses

Primary practice location

194 Broad St
Bloomfield, NJ 07003-2606

Mailing address

194 Broad St
Bloomfield, NJ 07003-2606
Phone (973) 748-5700

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
I20161017000656 NJ Practitioner - Nurse Practitioner 1850689316 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00546500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Alliance Community Healthcare, Inc. CurrentSince Aug 4, 2021 Accepting new patients
University Hospital CurrentSince Feb 10, 2025 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Sep 1, 2016 Accepting new patients
University Hospital CurrentSince Feb 10, 2025 Accepting new patients

Locations

115 Christopher Columbus Dr
#D
Jersey City, NJ 07302
Phone (551) 256-8406

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

205 S Orange Ave
Ste C1200
Newark, NJ 07103
Phone (973) 972-2150

205 S Orange Ave
#B1425
Newark, NJ 07103
Phone (973) 972-3125

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 5

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1114391489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-748-5700",
            "fax_number": "973-748-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-748-5700",
            "fax_number": "973-748-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKAR",
        "first_name": "NIRMALA",
        "middle_name": "RATNAM",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00546500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.