Freddie Bautista
Freddie Bautista is a Nurse Practitioner in Elizabeth, New Jersey. Qualified in 2023, 3 years ago. Practices with Barnabas Health Medical Group, PC, a 255-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 3
- Licensed in
- NJ
- In the registry since
- 2024
Practice location Address checks out
220 W Jersey St Apt 1BElizabeth, NJ 07202-1314
Phone: (908) 230-8785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 26NJ15087100 (NJ) |
|---|
Record details
| NPI number | 1124857826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2024 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 30, 2024 |
| Mailing address | 220 W Jersey St Apt 1b, Elizabeth, NJ 07202-1314 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Barnabas Health Medical Group, Pc — 255 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Elizabeth
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