Individual provider Active NPI

Barbara A. Botz, NP

  • Registered Nurse
  • Franklin Lakes, NJ
National Provider Identifier
1457478026
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR04994000 Issued in NJ
Practice address
841 Franklin Ave
Suite 5 the Women's Health Center at Franklin Circle
Franklin Lakes, NJ 07417
Phone
(201) 891-8811
Fax
(201) 891-9010
NPI assigned
Mar 26, 2007
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NN499000 NJ
Registered Nurse 163W00000X 26NR04994000 NJ Primary

Addresses

Primary practice location

841 Franklin Ave
Suite 5 the Women's Health Center at Franklin Circle
Franklin Lakes, NJ 07417

Mailing address

841 Franklin Ave
Suite 5 the Women's Health Center at Franklin Circle
Franklin Lakes, NJ 07417
Phone (201) 891-8811

Other identifiers 1

IdentifierTypeStateIssuer
034436DBVOtherPIN

Other names 1

  • Ms. Barbara Ann Botz Brennan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barbara.botz@direct.lifelinemedicalassoc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000324 NJ Practitioner - Nurse Practitioner 5294890026 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR04994000NJMDRegistered Nurse
26NN499000NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Feb 1, 2012 Accepting new patients
Joshua a Weidman MD LLC Past Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1457478026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 FRANKLIN AVE",
            "address_2": "SUITE 5 THE WOMEN'S HEALTH CENTER AT FRANKLIN CIRCLE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07417",
            "telephone_number": "201-891-8811",
            "fax_number": "201-891-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 FRANKLIN AVE",
            "address_2": "SUITE 5 THE WOMEN'S HEALTH CENTER AT FRANKLIN CIRCLE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07417",
            "telephone_number": "201-891-8811",
            "fax_number": "201-891-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTZ",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN499000",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR04994000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "034436DBV",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.botz@direct.lifelinemedicalassoc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "841 Franklin Ave",
            "address_2": "Suite 5 The Women's Health Center at Franklin Circle",
            "city": "Franklin Lakes",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BOTZ BRENNAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN APN C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.