Healthcare Provider Details

I. General information

NPI: 1518575232
Provider Name (Legal Business Name): CATHERINE BADIM APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 ROUTE 88
BRICK NJ
08724
US

IV. Provider business mailing address

99 ROUTE 37 W
TOMS RIVER NJ
08755-6423
US

V. Phone/Fax

Practice location:
  • Phone: 732-458-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number26NR16855000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26NJ01052600
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number26NJ01052600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: