Individual provider Active NPI

Aneeqa Babar, DO

  • Pediatrics Physician
  • Jersey City, NJ
National Provider Identifier
1003470782
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB11498400 Issued in NJ
Practice address
9 McWilliams PL
Jersey City, NJ 07302-1609
Phone
(718) 226-7666
NPI assigned
Apr 27, 2019
Last updated
Sep 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 316983 NY
Pediatrics Physician 208000000X 25MB11498400 NJ Primary

Addresses

Primary practice location

9 McWilliams PL
Jersey City, NJ 07302-1609

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436

Other practice location 1

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123000528 NY Practitioner - Pediatric Medicine 6103155593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11498400NJMDPediatrics Physician
316983NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 15, 2022 Accepting new patients
Tribeca Pediatrics Pediatrics CurrentSince Dec 3, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 15, 2022 Accepting new patients
Tribeca Pediatrics, PLLC PastSince Sep 20, 2022 Accepting new patients

Locations

5 N Dean St
Englewood, NJ 07631

9 McWilliams Pl
Jersey City, NJ 07302
Phone (201) 706-7175

4727 Vernon Blvd
Long Island City, NY 11101

300 Community Dr
Manhasset, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1003470782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MCWILLIAMS PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021609",
            "telephone_number": "718-226-7666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABAR",
        "first_name": "ANEEQA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "316983",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB11498400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.