Individual provider Active NPI

Janice Humiding Bautista, APN

  • Adult Health Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1124379573
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00330400 Issued in NJ
Practice address
444 Neptune Blvd 2ND Floor
Neptune, NJ 07753-4121
Phone
(732) 775-5300
Fax
(732) 775-1737
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00330400 NJ Primary

Addresses

Primary practice location

444 Neptune Blvd 2ND Floor
Neptune, NJ 07753-4121

Mailing address

444 Neptune Blvd, 2ND Floor
Neptune, NJ 07753-4121
Phone (732) 775-5300

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
I20140606000091 NJ Practitioner - Nurse Practitioner 1456575752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Physician Enterprise 71 clinicians

Practice addresses (Care Compare)

901 W Main St
Suite 205
Freehold, NJ 07728-2537
Phone (732) 866-0800

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00330400NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise CurrentSince Jul 1, 2017 Accepting new patients
Atlantic Cardiology LLC CurrentSince Mar 29, 2014 Accepting new patients
Freehold Hospitalists, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

444 Neptune Blvd
Unit 2
Neptune, NJ 07753
Phone (732) 774-0436

444 Neptune Blvd
Neptune City, NJ 07753
Phone (732) 462-6666

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHIBA
  • Direct secure messaging: jbautista18021@epicdirect.rwjbh.org

Organizations & group practices 3

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1124379573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD, 2ND FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534121",
            "telephone_number": "732-775-5300",
            "fax_number": "732-775-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD 2ND FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534121",
            "telephone_number": "732-775-5300",
            "fax_number": "732-775-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JANICE",
        "middle_name": "HUMIDING",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00330400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.