Individual provider Active NPI

Colette Baumbusch, RDH

  • Specialist
  • Bridgewater, NJ
National Provider Identifier
1720949373
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22HI00551100 Issued in NJ
Practice address
5 Betts TRL
Bridgewater, NJ 08807-5589
Phone
(908) 642-2467
NPI assigned
Nov 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22HI00551100 NJ Primary

Addresses

Primary practice location

5 Betts TRL
Bridgewater, NJ 08807-5589

Mailing address

5 Betts TRL
Bridgewater, NJ 08807-5589
Phone (908) 642-2467

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

State licenses

LicenseStateTypeSpecialty
22HI00551100NJMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1720949373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BETTS TRL",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088075589",
            "telephone_number": "908-642-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BETTS TRL",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088075589",
            "telephone_number": "908-642-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMBUSCH",
        "first_name": "COLETTE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "22HI00551100",
            "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 Nov 22, 2025; 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.