Beverly Bautista
Nurse Practitioner, Family in Succasunna, New Jersey
1922907633- Practice location
- 66 Sunset Strip Ste 407, Succasunna, NJ 07876-1362
- Phone
- 973-252-1676
- Fax
- —
- Last updated
- November 5, 2026
Beverly Bautista is a Nurse Practitioner, Family based in Succasunna, NJ. Beverly Bautista practices in Succasunna, NJ. The NPI Number for Beverly Bautista is 1922907633 and holds a License No. 26NJ15704400 (NJ). The current practice location address for Beverly Bautista is 66 Sunset Strip Ste 407, Succasunna, NJ 07876-1362 and can be reached out via phone at 973-252-1676.
Provider Profile Details
- NPI Number
- 1922907633
- Provider Name
- Beverly Bautista
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Sunset Strip Ste 407, Succasunna, NJ 07876-1362
- Phone Number
- 973-252-1676
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 2, 2026
- Last Update Date
- November 5, 2026
- Certification Date
- November 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Sunset Strip Ste 407
Succasunna, NJ 07876-1362 - City
- Succasunna
- State
- New Jersey
- Zip
- 07876-1362
- Phone Number
- 973-252-1676
Provider Business Mailing Address Details
- Address
- 211 Hill St
Boonton, NJ 07005-1411 - City
- Boonton
- State
- NJ
- Zip
- 07005-1411
- Phone Number
- 973-917-9498
License Information
- License Number
- 26NJ15704400
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Succasunna, NJ
View all Nurse Practitioner, Family providers in Succasunna →- Alaa S Halabi, FNP-CNurse Practitioner, Family · NPI 1588580393
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- Emad M KhellaNurse Practitioner, Family · NPI 1285459644
- Karin A Marshello-StosicNurse Practitioner, Family · NPI 1124721493
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Frequently Asked Questions
What is the NPI number of Beverly Bautista?
The NPI number of Beverly Bautista is 1922907633. It was assigned on November 2, 2026 and is currently active in the NPPES registry.
What is the specialty of Beverly Bautista?
Beverly Bautista is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15704400.
Where does Beverly Bautista practice?
The practice location is 66 Sunset Strip Ste 407, Succasunna, NJ 07876-1362. The office can be reached at 973-252-1676 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922907633 directly on the NPPES registry website.