Heather Baker Elepano

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00547100 Issued in NJ

Practice address

290 Union Blvd
Suite 2
Totowa, NJ 07512-2610

Phone

(973) 595-0600

NPI assigned

Jul 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1194109033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD",
            "address_2": "SUITE 2",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-595-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD",
            "address_2": "SUITE 2",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-595-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEPANO",
        "first_name": "HEATHER",
        "middle_name": "BAKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NJ",
            "license": "26NR13721400",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00547100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educational & Behavioral Health Associates (Ebha)
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• Dana Edwards, DPT
• Ehrenworth & Goldsmith
• Jacob Elias, DMD
• Maurice Elias, M.D.
• Elite Family Wellness Center, LLC
• Elite Spine and Sports Care of Totowa
• Sara Emara, DDS

• Pediatric Nurse Practitioner in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.