Paulo Juan Bagayas Verdeflor, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00440500 Issued in NJ

Practice address

2401 Stuyvesant Ave
Trenton, NJ 08628

Phone

(609) 984-6000

NPI assigned

Jun 6, 2013

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, WA, MA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional Ma, PLLCGroup PAC ID 7416360946, 12 clinicians

Eleanor Health Professional NJ, LLCGroup PAC ID 3779904602, 15 clinicians

Eleanor Health Professional Wa PLLCGroup PAC ID 2365855210, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paulo.juan.verdeflor.1@21505.direct.athenahealth.com

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.

• Eleanor Health Professional Ma, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
  • NPI 1205446374

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional Wa, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Everett, WA
  • NPI 1043827132

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional NJ, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cherry Hill, NJ
  • NPI 1790310738
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1831537372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LILY LN",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "732-744-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 STUYVESANT AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-984-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEFLOR",
        "first_name": "PAULO JUAN",
        "middle_name": "BAGAYAS",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00440500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00440500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Enid Velez-Perez
• Lizbeth Veliz
• Kelly Lynn Ventresca, BCBA
• Jieun Ventriello, OTR/L
• Sebastian Alejandro Vera Garces, MD
• Brian Verdi, RN
• Devon Verity, APN
• Jacquelene Vertus, APN
• Carl Vetri, DMD
• Melissa Vickers, APN

• Adult Health Nurse Practitioner in Trenton, NJ
• Providers in Trenton, 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 Jul 7, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.