Active NPI
Kavitha Bathini, APN
- Gerontology Nurse Practitioner
- Rockaway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01121300
- Practice address
- 607 Parkview LN
Rockaway, NJ 07866-2081 - Phone
- (415) 609-4254
- NPI assigned
- Mar 5, 2021
- Last updated
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01121300 | NJ | Primary |
Addresses
Primary practice location
607 Parkview LN
Rockaway, NJ 07866-2081
Mailing address
607 Parkview LN
Rockaway, NJ 07866-2081
Phone (415) 609-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Flower Mound, TX 75028
Phone (469) 293-1515
510 N Valley Mills Dr
Suite 505
Waco, TX 76710-6078
Phone (254) 870-5174
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thi of Texas at Samaritan Hospice, LLC | Current | Accepting new patients | |
| University Medical Professionals LLC | Current | Accepting new patients | |
| Thi of Texas at Samaritan Hospice LLC | Current | Accepting new patients | |
| Morris Avenue Medical Center PC | Past | Accepting new patients | |
| Life Choice Hospice of New Jersey, LLC | Past | Accepting new patients |
Locations
240 Williamson St
Ste 300
Elizabeth, NJ 07202
Phone (908) 350-4444
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
510 N Valley Mills Dr
Ste 505
Waco, TX 76710
Phone (254) 269-4387
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10045835
Organizations & group practices 6
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.
-
dba Compassus - Central Texas
- Hospice and Palliative Medicine (Family Medicine) Physician
- Waco, TX
- NPI 1144902982
-
dba Arcy Supportive Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Flower Mound, TX
- NPI 1902434210
-
- Critical Care Medicine (Internal Medicine) Physician
- Elizabeth, NJ
- NPI 1346304664
-
dba Compassus - Central Texas
- Community Based Hospice Care Agency
- Waco, TX
- NPI 1528202918
-
dba Compassu - Greater New Jersey
- Community Based Hospice Care Agency
- Willingboro, NJ
- NPI 1427380625
-
- Cardiovascular Disease Physician
- Union, NJ
- NPI 1134369200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Passaic, NJ
- NPI 1770901761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1154916724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 PARKVIEW LN",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662081",
"telephone_number": "415-609-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 PARKVIEW LN",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662081",
"telephone_number": "415-609-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATHINI",
"first_name": "KAVITHA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01121300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.