Annette Battu Bangali, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG12230068 Issued in NJ

Practice address

77 Staghorn Dr
North Brunswick, NJ 08902-1080

Phone

(732) 570-2549

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1275377913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 STAGHORN DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021080",
            "telephone_number": "732-570-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 STAGHORN DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021080",
            "telephone_number": "732-570-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGALI",
        "first_name": "ANNETTE",
        "middle_name": "BATTU",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "AG12230068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meena Priya Bagavathy Perumal
• Ann Dalton Bagchi, PHD, DNP
• Monjir Bakshi, D.M.D.
• Zarina Edul Bamji
• Bancroft, a New Jersey Nonprofit Corporation
• Barakah Support Services LLC
• Pankti Dhaval Barot
• Fatmata Barrie
• James C. Battaglia, PT, DPT
• Bayada Home Health Care, Inc.

• Adult Health Nurse Practitioner in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.