Juna Bolleser Engutan, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ01170800 Issued in NJ

Practice address

1440 Pennington Rd Ste 1
Ewing, NJ 08618-2669

Phone

(609) 890-1050

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Treatment Resources LLCGroup PAC ID 2961541180, 4 clinicians

Gentle Rejuvenations Limited Liability CompanyGroup PAC ID 9133628506, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentle Rejuvenations Limited Liability Company

  • Geriatric Medicine (Internal Medicine) Physician
  • Lawrenceville, NJ
  • NPI 1316838253
  Medicare reassignment Care Compare group NPD
• Geriatric Treatment Resources LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Lawrence Township, NJ
  • NPI 1154553063
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1902573389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 PENNINGTON RD STE 1",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182669",
            "telephone_number": "609-890-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 PENNINGTON RD STE 1",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182669",
            "telephone_number": "609-890-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGUTAN",
        "first_name": "JUNA",
        "middle_name": "BOLLESER",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01170800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enable, Inc.
• Enable, Inc.
• Enable, Inc.
• Stephanie Eng
• Samyiah English
• Andrew Estafanous, PHARMD.
• Ewing Board of Education
• Ewing Internal Medicine Associates
• Ewing Pharmacy LLC
• Ewing Pharmacy LLC

• Primary Care Nurse Practitioner in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.