Active NPI
Jennifer Bousenberry
- Registered Nurse First Assistant
- Plainsboro, NJ
National Provider Identifier
1366006876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 26NO12265100
- Practice address
- 1 Plainsboro Rd
Plainsboro, NJ 08536-1913 - Phone
- (609) 731-6362
- NPI assigned
- Apr 30, 2019
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 26NO12265100 | NJ | Primary |
Addresses
Primary practice location
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877
Other practice location 1
1945 Rte 33
Amdur Pavilion, 2nd Floor
Neptune, NJ 07753
Phone (732) 776-4600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO12265100 | NJ | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1366006876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015792",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PLAINSBORO RD",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085361913",
"telephone_number": "609-731-6362"
}
],
"practiceLocations": [
{
"address_1": "1945 Rte 33",
"address_2": "Amdur Pavilion, 2nd Floor",
"address_purpose": "LOCATION",
"city": "Neptune",
"state": "NJ",
"postal_code": "07753",
"country_code": "US",
"telephone_number": "732-776-4600",
"fax_number": "732-776-2381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUSENBERRY",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2024-09-19",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "NJ",
"license": "26NO12265100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.