Janine M Bodden, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00167600 Issued in NJ

Practice address

10 Forest Ave
Paramus, NJ 07652-5242

Phone

(201) 291-4040

Fax

(201) 291-0404

NPI assigned

Jun 18, 2008

Last updated

Aug 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1699936153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOREST ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092308",
            "telephone_number": "201-709-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525242",
            "telephone_number": "201-291-4040",
            "fax_number": "201-291-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "JANINE",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00167600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Laura Blasoni, DSW, LCSW, CH.T.
• Ariel Blaustein, OTR/L
• Block Federbush & Associates LLC
• Harvey Block, PHD
• Alyssa Rachael Blum, BCBA
• Bryan Bolanosgonzalez
• Danielle Marie Bollettino, PT
• Catherine Bonassisa, LSW
• Jaclyn Bonnafoux, DMSC PA-C
• Grace Anne Boriotti, PA-C

• Adult Health Nurse Practitioner in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.