Provider Demographics
NPI:1407485238
Name:CATHERINE M. BADILLO, RN, NP IN GERONTOLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CATHERINE M. BADILLO, RN, NP IN GERONTOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BADILLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, GNP
Authorized Official - Phone:845-304-8354
Mailing Address - Street 1:235 SICKLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1011
Mailing Address - Country:US
Mailing Address - Phone:845-304-8354
Mailing Address - Fax:845-358-2326
Practice Address - Street 1:235 SICKLETOWN RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1011
Practice Address - Country:US
Practice Address - Phone:845-304-8354
Practice Address - Fax:845-358-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
No163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Single Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
No163WX1500XNursing Service ProvidersRegistered NurseOstomy CareGroup - Single Specialty
No251J00000XAgenciesNursing Care