Individual provider Active NPI

Kavitha Bathini, APN

  • Gerontology Nurse Practitioner
  • Rockaway, NJ
National Provider Identifier
1154916724
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01121300 Issued in NJ
Practice address
607 Parkview LN
Rockaway, NJ 07866-2081
Phone
(415) 609-4254
NPI assigned
Mar 5, 2021
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210921004035 NJ Practitioner - Nurse Practitioner 7517364334 Reassigns benefits to 1 organization
I20250507003268 TX Practitioner - Nurse Practitioner 7517364334 Reassigns benefits to 2 organizations

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
Arcy Healthcare, LLCGroup PAC ID 8628161536, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Thi of Texas at Samaritan Hospice, LLC CurrentSince Mar 5, 2025 Accepting new patients
University Medical Professionals LLC CurrentSince Jul 7, 2021 Accepting new patients
Thi of Texas at Samaritan Hospice LLC CurrentSince Mar 5, 2025 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.