Organization Active NPI

Natasha G Baron

  • Psychiatry Physician
  • Fair Lawn, NJ
National Provider Identifier
1003261504
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09059200 Issued in NJ
Legal business name
NATASHA G BARON
Practice address
12-15 Broadway
2A
Fair Lawn, NJ 07410-2031
Phone
(201) 334-2537
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Natasha G Baron, MDNPI 1104026186
Title
Owner
Phone
(201) 334-2537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA09059200 NJ Primary

Addresses

Primary practice location

12-15 Broadway
2A
Fair Lawn, NJ 07410-2031

Mailing address

12-15 Broadway
2A
Fair Lawn, NJ 07410-2031
Phone (201) 334-2537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160705000310 NJ Part B Supplier - Clinic/Group Practice 0345532800 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory

Locations

12-15 Broadway
#2A
Fair Lawn, NJ 07410
Phone (201) 334-2537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1003261504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY",
            "address_2": "2A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "201-334-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY",
            "address_2": "2A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "201-334-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA G BARON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-334-2537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09059200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.