Individual provider Active NPI

Natalie Fattal, APN

  • Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1548781040
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00738700 Issued in NJ
Practice address
194 Broad St # 4
Bloomfield, NJ 07003-2606
Phone
(973) 680-8400
NPI assigned
Jul 5, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00738700 NJ Primary

Addresses

Primary practice location

194 Broad St # 4
Bloomfield, NJ 07003-2606

Mailing address

731 Ewing Ave
Franklin Lakes, NJ 07417-2228
Phone (201) 835-3666

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
I20180515001929 NJ Practitioner - Nurse Practitioner 6901160100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

92 Summit Ave
Hackensack, NJ 07601-1263
Phone (201) 342-0066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of North Jersey Professional Association CurrentSince Mar 31, 2018 Accepting new patients

Locations

370 W Pleasantview Ave
Ste 2299
Hackensack, NJ 07601

92 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-0066

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nfattal242057@epicdirect.rwjbh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1548781040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 EWING AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172228",
            "telephone_number": "201-835-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROAD ST # 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-680-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAL",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00738700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.