Individual provider Active NPI

Barbara Bousi Njuguna, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nutley, NJ
National Provider Identifier
1235638230
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00833500 Issued in NJ
Practice address
169 Chestnut St
Nutley, NJ 07110-2311
Phone
(973) 667-1884
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 26NJ00833500 NJ Primary

Addresses

Primary practice location

169 Chestnut St
Nutley, NJ 07110-2311

Mailing address

104 Heman St
Edison, NJ 08837-3080
Phone (302) 981-6124

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
I20180822001044 NJ Practitioner - Nurse Practitioner 3173886561 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Psychiatric and Counseling ServicesGroup PAC ID 4789045006, 2 clinicians

Practice addresses (Care Compare)

104 Heman St
Edison, NJ 08837-3080
Phone (732) 333-7249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00833500NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Care Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Grace Medical Consult Psychiatric/Mental Health CurrentSince Jun 8, 2024 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince May 27, 2021 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince May 27, 2021 Accepting new patients
Serenity Psychiatric & Counseling Services Psychiatric/Mental Health CurrentSince Jul 1, 2023 Accepting new patients
Nutley Family Service Bureau, Inc. CurrentSince Aug 27, 2023 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Apr 25, 2022 Accepting new patients
L&a Absolute Care LLC Psychiatric/Mental Health PastSince Jun 8, 2024 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

40 Union Ave
Ste 301
Irvington, NJ 07111
Phone (862) 849-2618

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

169 Chestnut St
Nutley, NJ 07110
Phone (973) 542-8276

1907 Park Ave
Ste 101
South Plainfield, NJ 07080
Phone (732) 215-3208

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1235638230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HEMAN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373080",
            "telephone_number": "302-981-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102311",
            "telephone_number": "973-667-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUGUNA",
        "first_name": "BARBARA",
        "middle_name": "BOUSI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00833500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.