Individual ProviderVaibhavee PathakNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address254 Easton Ave, New Brunswick, NJ 08901-1766(732) 745-8600(609) 204-9116PECOS EnrollmentBased on the most recent information from CMS, provider Vaibhavee Pathak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1770257750Provider TypeIndividualFull NamePathak, VaibhaveeCredentialDNP, FNP-C, RNGenderFemaleSole ProprietorNoEnumeration Date8/4/2021Last Updated9/7/2021Contact InformationPractice LocationPractice Address254 Easton Ave, New Brunswick, NJ 08901-1766Phone(732) 745-8600FaxUnlisted FaxMailing LocationMailing Address101 Cherokee Dr, Galloway, NJ 08205-3742Phone(609) 204-9116FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ01196100New JerseyCode163WE0003XDescriptionRegistered NurseNursing Service ProvidersLicense26NR18167800New Jersey