Individual provider Active NPI

Aurelie Ngoufack-Tioguem, RN

  • Home Health Registered Nurse
  • Bridgewater, NJ
National Provider Identifier
1508614777
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
26NR18545900 Issued in NJ
Practice address
901 Frontier Rd
Bridgewater, NJ 08807-2936
Phone
(732) 507-5151
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR18545900 NJ
Home Health Registered Nurse 163WH0200X 26NR18545900 NJ Primary

Addresses

Primary practice location

901 Frontier Rd
Bridgewater, NJ 08807-2936

Mailing address

319 Dunellen Ave
Dunellen, NJ 08812-1233
Phone (908) 247-4230

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR18545900NJMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
LCS Bridgewater Operations II LLC CurrentSince May 12, 2024 Accepting new patients
Kane Wound Care LLC PastSince May 12, 2024 Accepting new patients

Locations

901 Frontier Rd
Bridgewater, NJ 08807
Phone (732) 507-5151

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": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1508614777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 DUNELLEN AVE",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121233",
            "telephone_number": "908-247-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRONTIER RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072936",
            "telephone_number": "732-507-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOUFACK-TIOGUEM",
        "first_name": "AURELIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18545900",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "26NR18545900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.