Individual provider Active NPI

Genevieve Basanaga, NP

  • Family Nurse Practitioner
  • North Plainfield, NJ
National Provider Identifier
1114600152
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14891200 Issued in NJ
Practice address
43-45 Pearl Street
North Plainfield, NJ 07060
Phone
(908) 822-9700
NPI assigned
Aug 8, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 26NJ14891200 NJ
Family Nurse Practitioner 363LF0000X 26NJ14891200 NJ Primary

Addresses

Primary practice location

43-45 Pearl Street
North Plainfield, NJ 07060

Mailing address

22 Ewing Dr
Piscataway, NJ 08854-6266
Phone (732) 910-7605

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
I20231211001011 NJ Practitioner - Nurse Practitioner 1759730112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Faith Family Health Care Professional Corp.Group PAC ID 0345379400, 3 clinicians

Practice addresses (Care Compare)

43 -45 Pearl St
North Plainfield, NJ 07060-4886
Phone (908) 822-9700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Family Health Care Professional Corp. CurrentSince Oct 30, 2023 Accepting new patients
Family Medicine Group LLC PastSince Aug 13, 2023 Accepting new patients

Locations

43 Pearl St
North Plainfield, NJ 07060
Phone (908) 822-9700

5 Mountain Blvd
Ste 3
Warren, NJ 07059
Phone (908) 755-5335

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1114600152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EWING DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546266",
            "telephone_number": "732-910-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43-45 PEARL STREET",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-822-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASANAGA",
        "first_name": "GENEVIEVE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NJ",
            "license": "26NJ14891200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14891200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.