Katrina S. Bantis, DO, MS

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MB13222600 Issued in NJ

Practice address

3540 John F Kennedy Blvd Ste 201&301
Jersey City, NJ 07307-3450

Phone

(201) 333-2221

NPI assigned

Apr 7, 2021

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1992384887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DAVIDSON AVE STE 124",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734123",
            "telephone_number": "732-314-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 JOHN F KENNEDY BLVD STE 201&301",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073450",
            "telephone_number": "201-333-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011723",
            "country_code": "US",
            "telephone_number": "732-314-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANTIS",
        "first_name": "KATRINA",
        "middle_name": "S.",
        "credential": "DO, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB13222600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barjeta Balidemaj, DC
• Micah Camille Talusan Baluyot, ATC
• Rona Mae Baluyut, OTR/L
• Ana Banchs, LCSW
• Nashira Banks
• Charina Bantugan, FNP-C
• Nicole B Baptiste, M.D.
• Dennis Ignacio Baquiran, P.T.
• Kimberlyn Jane Baquiran, P.T.
• Ani Baran, L.AC

• Anesthesiology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.