Provider Demographics
NPI:1912542697
Name:LOUIS, BATULIO J (APN)
Entity type:Individual
Prefix:MR
First Name:BATULIO
Middle Name:J
Last Name:LOUIS
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:419 NORTHFIELD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3091
Mailing Address - Country:US
Mailing Address - Phone:973-873-5833
Mailing Address - Fax:973-265-7050
Practice Address - Street 1:123 E MAIN ST UNIT 246
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-7412
Practice Address - Country:US
Practice Address - Phone:973-873-5833
Practice Address - Fax:973-265-7050
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-17
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01127300363LG0600X, 363L00000X
NJHP0284900376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemaker