Mary Badru, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

26NR09797400 Issued in NJ

Practice address

76 Bayview Ave
Keansburg, NJ 07734-1235

Phone

(732) 670-2478

NPI assigned

Apr 16, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1972946309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BAYVIEW AVE",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341235",
            "telephone_number": "732-670-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BAYVIEW AVE",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341235",
            "telephone_number": "732-670-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRU",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NR09797400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Mae Abrina, M.D.
• Anderson F Tsai MD
• Beacon Specialized Living New Jersey, Inc.
• Gaytosha Brandon, LPN
• Michelle M Carson, LMT
• Catholic Charities, Diocese of Trenton (Monmouth Counseling Program)
• Annamarie Lisa Couce, MS, RD, CLC

• Gerontology Registered Nurse in Keansburg, NJ
• Providers in Keansburg, NJ by specialty
• Gerontology Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.