Individual provider Active NPI

Laura Bastone, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlboro, NJ
National Provider Identifier
1154055325
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01337900 Issued in NJ
Practice address
80 Conover Rd
Marlboro, NJ 07746-1003
Phone
(732) 946-3030
NPI assigned
Jul 13, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01337900 NJ Primary

Addresses

Primary practice location

80 Conover Rd
Marlboro, NJ 07746-1003

Mailing address

77 Chestnut Way
Manalapan, NJ 07726-3835
Phone (917) 548-2479

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
I20230324000066 NJ Practitioner - Nurse Practitioner 1052785540 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01337900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center at Freehold LLC CurrentSince Apr 13, 2023 Accepting new patients
Counseling Center at Clark, LLC CurrentSince Dec 10, 2022 Accepting new patients
Hanra Care LLC Psychiatric/Mental Health CurrentSince Dec 8, 2024 Accepting new patients
Counseling Center at Toms River LLC CurrentSince Apr 13, 2023 Accepting new patients
Counseling Center at Fair Lawn, LLC CurrentSince Apr 13, 2023 Accepting new patients

Locations

2328 10th Ave N
Ste 300
Lake Worth Beach, FL 33461
Phone (561) 318-4476

2328 10th Ave N
Ste 302
Lake Worth Beach, FL 33461
Phone (561) 318-4411

950 Kings Hwy N
Ste 304
Cherry Hill, NJ 08034
Phone (856) 600-0951

16-01 Broadway
Fair Lawn, NJ 07410
Phone (201) 389-5326

4345 US Highway 9
Freehold, NJ 07728
Phone (732) 414-3601

1100 Cornwall Rd
Ste 111
Monmouth Junction, NJ 08852
Phone (732) 419-4000

691 US Highway 130
Ste 5
Robbinsville, NJ 08691
Phone (609) 759-2070

1198 Lakewood Rd
Ste 102
Toms River, NJ 08753
Phone (732) 605-6364

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, 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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1154055325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHESTNUT WAY",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263835",
            "telephone_number": "917-548-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CONOVER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461003",
            "telephone_number": "732-946-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTONE",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01337900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.