Individual provider Active NPI

Jacqueline Bell-Bowe, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bayonne, NJ
National Provider Identifier
1992906085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NC05754300 Issued in NJ
Practice address
690 Broadway FL 4
Bayonne, NJ 07002-4725
Phone
(201) 823-5000
Fax
(201) 823-8173
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NC05754300 NJ Primary

Addresses

Primary practice location

690 Broadway FL 4
Bayonne, NJ 07002-4725

Mailing address

1045 Kenyon Ave
Plainfield, NJ 07060-2805
Phone (908) 561-1024

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

LicenseStateTypeSpecialty
26NC05754300NJMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992906085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 KENYON AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602805",
            "telephone_number": "908-561-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BROADWAY FL 4",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024725",
            "telephone_number": "201-823-5000",
            "fax_number": "201-823-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL-BOWE",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC05754300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.