Individual provider Active NPI

Janessa Marie Baquerizo

  • Psychiatric/Mental Health Nurse Practitioner
  • Perth Amboy, NJ
National Provider Identifier
1396573655
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15123800 Issued in NJ
Practice address
686 Donald Ave
Perth Amboy, NJ 08861-2529
Phone
(201) 410-1644
NPI assigned
Jul 26, 2024
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15123800 NJ Primary

Addresses

Primary practice location

686 Donald Ave
Perth Amboy, NJ 08861-2529

Mailing address

686 Donald Ave
Perth Amboy, NJ 08861-2529
Phone (201) 410-1644

Other practice location 1

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161

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
I20250716003693 NJ Practitioner - Nurse Practitioner 9638684715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

3 Garret Mountain PLZ
Suite 200
Woodland Park, NJ 07424-3376
Phone (201) 822-1161

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023193482NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Jun 1, 2025 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Aug 8, 2025 Accepting new patients
Beyond the Mind LLC Psychiatric/Mental Health CurrentSince May 2, 2026 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

3 Garret Mountain Plz
Ste 200
Woodland Park, NJ 07424

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1396573655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 DONALD AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612529",
            "telephone_number": "201-410-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 DONALD AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612529",
            "telephone_number": "201-410-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAQUERIZO",
        "first_name": "JANESSA MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15123800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.