Individual provider Active NPI

Annette Barragan, RN, NPC

  • Nurse Practitioner
  • Ridgewood, NJ
National Provider Identifier
1265475693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NN102606 Issued in NJ
Practice address
20 W Ridgewood Ave # 7
Ridgewood, NJ 07450-3117
Phone
(201) 251-2900
Fax
(201) 652-2782
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NN102606 NJ Primary

Addresses

Primary practice location

20 W Ridgewood Ave # 7
Ridgewood, NJ 07450-3117

Mailing address

20 Gathering Rd
Pine Brook, NJ 07058-9568
Phone (973) 396-2522

Other identifiers 2

IdentifierTypeStateIssuer
P00173885OtherNJRAILROAD MEDICARE
7758308MedicaidNJ

Other names 1

  • Miss Annette Estevez Other name

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
I20040708000094 NJ Practitioner - Nurse Practitioner 0749268704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NJ LLCGroup PAC ID 3375914419, 20 clinicians

Practice addresses (Care Compare)

84 Cold Hill Rd
Mendham, NJ 07945-2021
Phone (973) 543-2500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NN102606NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NJ LLC CurrentSince Jan 2, 2023 Accepting new patients
Saint Peter'S University Hospital Past Accepting new patients
NP Care of NJ, LLC Nurse Practitioner Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

600 Lincoln Park E
Cranford, NJ 07016
Phone (908) 276-7100

65 N Sussex St
Dover, NJ 07801
Phone (973) 361-5200

84 Cold Hill Rd
Mendham Twp, NJ 07945
Phone (973) 543-2500

200 Reynolds Ave
Parsippany, NJ 07054
Phone (973) 887-8080

390 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-0200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265475693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GATHERING RD",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589568",
            "telephone_number": "973-396-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W RIDGEWOOD AVE # 7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503117",
            "telephone_number": "201-251-2900",
            "fax_number": "201-652-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "RN, NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NN102606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00173885",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7758308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "ESTEVEZ",
            "prefix": "MISS",
            "credential": "NURSE PRACTITIONER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.