Individual provider Active NPI

Magnolita Philip-Rousseau, AGNP-C

  • Adult Health Nurse Practitioner
  • Bayonne, NJ
National Provider Identifier
1689022279
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00638800 Issued in NJ
Practice address
988 Broadway
Bayonne, NJ 07002-4036
Phone
(201) 339-6111
NPI assigned
May 25, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00638800 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ00638800 NJ
Gerontology Clinical Nurse Specialist 364SG0600X 26NJ00638800 NJ

Addresses

Primary practice location

988 Broadway
Bayonne, NJ 07002-4036

Mailing address

988 Broadway
Bayonne, NJ 07002-4036
Phone (201) 339-6111

Other practice location 1

181 New Rd Ste 304
Parsippany, NJ 07054-5625
Phone (862) 201-3033

Other names 1

  • Magnolita Bonheur Former name

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
I20160907002440 NJ Practitioner - Nurse Practitioner 2264728831 Reassigns benefits to 3 organizations

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
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

Parsippany, NJ 07054
Phone (908) 265-2114

988 Broadway
Suite 201
Bayonne, NJ 07002-4036
Phone (201) 339-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00638800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Feb 1, 2017 Accepting new patients
Peacefully Rooted Psychiatric Services L.L.C. CurrentSince Jun 12, 2025 Accepting new patients
BHMG - United Medical CurrentSince Jun 27, 2016 Accepting new patients
Newark Community Health Centers, Inc. Current Accepting new patients
Rapid Access Medical Diagnostics NJ LLC Past Accepting new patients

Locations

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

181 New Rd
Ste 304
Parsippany, NJ 07054
Phone (800) 805-0759

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • Direct secure messaging: mphiliprousseau126831@epicdirect.rwjbh.org

Organizations & group practices 5

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1689022279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024036",
            "telephone_number": "201-339-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024036",
            "telephone_number": "201-339-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 New Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070545625",
            "country_code": "US",
            "telephone_number": "862-201-3033",
            "fax_number": "949-864-3597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP-ROUSSEAU",
        "first_name": "MAGNOLITA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00638800",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00638800",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "NJ",
            "license": "26NJ00638800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGNOLITA",
            "last_name": "BONHEUR",
            "credential": "AGNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.