Active NPI
Djenane Bartholomew, RN
- Home Health Registered Nurse
- Brooklyn, NY
National Provider Identifier
1255582599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 26NR13685400
- Practice address
- 517 53Rd St
Brooklyn, NY 11220-2736 - Phone
- (516) 852-2463
- NPI assigned
- Oct 6, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 523142-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F310460-01 | NY | |
| Home Health Registered Nurse | 163WH0200X | 26NR13685400 | NJ | Primary |
Addresses
Primary practice location
517 53Rd St
Brooklyn, NY 11220-2736
Mailing address
23 Dora LN
Holmdel, NJ 07733-1624
Phone (732) 888-1355
Other practice location 1
23 Dora Ln
Holmdel, NJ 07733-1624
Phone (732) 888-1355
Other names 1
- Mrs. Djenane Thibaut
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523142-1 | NY | MD | Registered Nurse |
| 26NR13685400 | NJ | MD | Home Health Registered Nurse |
| F310460-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsite Lifecare, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Holmdel, NJ
- NPI 1619321551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1255582599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 DORA LN",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331624",
"telephone_number": "732-888-1355",
"fax_number": "732-888-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202736",
"telephone_number": "516-852-2463"
}
],
"practiceLocations": [
{
"address_1": "23 Dora Ln",
"address_purpose": "LOCATION",
"city": "Holmdel",
"state": "NJ",
"postal_code": "077331624",
"country_code": "US",
"telephone_number": "732-888-1355",
"fax_number": "732-888-1639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTHOLOMEW",
"first_name": "DJENANE",
"name_prefix": "Dr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "523142-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F310460-01",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NJ",
"license": "26NR13685400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DJENANE",
"last_name": "THIBAUT",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.