Individual provider Active NPI

Marjorie Bafaty, RN

  • Community Health Worker
  • Asbury Park, NJ
National Provider Identifier
1679015242
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
26NR15905000 Issued in NJ
Practice address
30 Dewitt Ave
Asbury Park, NJ 07712-6719
Phone
(732) 460-9106
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 26NR15905000 NJ Primary

Addresses

Primary practice location

30 Dewitt Ave
Asbury Park, NJ 07712-6719

Mailing address

57 S Main St
125
Neptune, NJ 07753-5032
Phone (732) 460-9106

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
26NR15905000NJMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1679015242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "address_2": "125",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535032",
            "telephone_number": "732-460-9106",
            "fax_number": "732-691-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DEWITT AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126719",
            "telephone_number": "732-460-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFATY",
        "first_name": "MARJORIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NJ",
            "license": "26NR15905000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.