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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BEVERLY BAUTISTA
NPI 1922907633
Nurse Practitioner - Family in Succasunna, NJ

Active since November 02, 2026
66 SUNSET STRIP STE 407, SUCCASUNNA, NJ 07876(973) 252-1676 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Beverly Bautista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY BAUTISTA (NPI 1922907633) is an individual family provider in Succasunna, New Jersey, licensed in New Jersey (26NJ15704400) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1922907633
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVERLY BAUTISTA
Location Address66 SUNSET STRIP STE 407Succasunna, NJ 07876-1362
Mailing Address211 Hill StBoonton, NJ 07005-1411 · (973) 917-9498
Phone(973) 252-1676
Sole ProprietorYes
Enumeration DateNovember 2, 2026
Last NPPES UpdateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1922907633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15704400
66 SUNSET STRIP STE 407, Succasunna, NJ 07876
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA LYNN POISSEROUX
Nurse Practitioner (Family)
66 SUNSET STRIP STE 407
SUCCASUNNA, NJ 07876
Morris County (973) 252-1676
MRS. MICHELLE JANICE ROBERTS APRN
Nurse Practitioner (Family)
66 SUNSET STRIP STE 407
SUCCASUNNA, NJ 07876
Morris County (973) 252-1676
DENISE CUSICK FNP
Nurse Practitioner (Family)
66 SUNSET STRIP STE 407
SUCCASUNNA, NJ 07876
Morris County (973) 252-1676
KAILEY M CAIVANO FNP-C
Nurse Practitioner
66 SUNSET STRIP STE 407
SUCCASUNNA, NJ 07876
Morris County (973) 252-1676
SARAH BODDEUS
Nurse Practitioner (Family)
66 SUNSET STRIP STE 407
SUCCASUNNA, NJ 07876
Morris County (973) 252-1676
KRITHIKA MULLENGADA MD
Internal Medicine
66 SUNSET STRIP STE 407, NORTHWEST MEDICAL CARE, LLC
SUCCASUNNA, NJ 07876
Morris County (973) 252-1676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Bautista's NPI number?

The NPI number for Beverly Bautista is 1922907633. It was assigned to this individual provider in the NPPES registry on November 2, 2026.

Where is Beverly Bautista located?

Beverly Bautista practices at 66 Sunset Strip Ste 407, Succasunna, NJ 07876. The listed phone number is (973) 252-1676.

What is Beverly Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Beverly Bautista was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.