Active NPI
Teresa Sharlene Bittol Bangwa
- Family Nurse Practitioner
- Hackensack, NJ
National Provider Identifier
1306792064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01428700
- Practice address
- 5 Summit Ave Ste 106
Hackensack, NJ 07601-1271 - Phone
- (201) 336-0095
- NPI assigned
- Mar 5, 2026
- Last updated
- Mar 5, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01428700 | NJ | Primary |
Addresses
Primary practice location
5 Summit Ave Ste 106
Hackensack, NJ 07601-1271
Mailing address
860 Williams Ave
Teaneck, NJ 07666-2518
Phone (201) 286-0985
Other practice location 1
6 Forest Ave Ste 215
Paramus, NJ 07652-5245
Phone (201) 880-5145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01428700 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Body Chiropractic Healthcare PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Balanced Body Holistic Healthcare
- Chiropractor
- Paramus, NJ
- NPI 1003455643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1306792064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 WILLIAMS AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662518",
"telephone_number": "201-286-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SUMMIT AVE STE 106",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011271",
"telephone_number": "201-336-0095"
}
],
"practiceLocations": [
{
"address_1": "6 Forest Ave Ste 215",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076525245",
"country_code": "US",
"telephone_number": "201-880-5145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGWA",
"first_name": "TERESA SHARLENE",
"middle_name": "BITTOL",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01428700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- Garth Hadden Ballantyne, MD
- Bami Dental Inc. (Bami Dental Center)
- Heather A Bamond, PA
- Nicole Banales, LSW
- Janelle Bang, PT, DPT
- Henrietta Bannerman
- Jerry Michael Baratta, D.O.
- Barbara a Cavallaro, MD PC
- Susan Barbara, RN HEALTH EDUCATOR
- Barbieri, Colameo & Berardo, Associates in Oral and Maxillofacial Surg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.