Active NPI
Bathseba Moraa
- Home Infusion Agency
- Hillside, NJ
National Provider Identifier
1942885587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 0600471928
- Practice address
- 55 Eastern Pkwy
Hillside, NJ 07205-1706 - Phone
- (201) 626-0080
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0600471928 | NJ | |
| Home Infusion Agency | 251F00000X | 0600471928 | NJ | Primary |
Addresses
Primary practice location
55 Eastern Pkwy
Hillside, NJ 07205-1706
Mailing address
55 Eastern Pkwy
Hillside, NJ 07205-1706
Phone (201) 626-0080
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0600471928 | NJ | MD | Home Infusion Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newlife Healthcare LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1942885587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EASTERN PKWY",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072051706",
"telephone_number": "201-626-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 EASTERN PKWY",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072051706",
"telephone_number": "201-626-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAA",
"first_name": "BATHSEBA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "0600471928",
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NJ",
"license": "0600471928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.