Active NPI
Janice Humiding Bautista, APN
- Adult Health Nurse Practitioner
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00330400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
901 W Main St
Suite 205
Freehold, NJ 07728-2537
Phone (732) 866-0800
Hospital & facility affiliations
- Centrastate Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00330400 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Wood Johnson Physician Enterprise | Current | Accepting new patients | |
| Atlantic Cardiology LLC | Current | Accepting new patients | |
| Freehold Hospitalists, LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/GBHIBA
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.