Elaine Bacci, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB66800 Issued in NJ

Practice address

565 Hwy 35 North
Red Bank, NJ 07701

Phone

(732) 219-7140

Fax

(732) 219-7177

NPI assigned

Jul 21, 2006

Last updated

Apr 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Immediate Care Medical Walk-in of Hazlet, PA

  • Urgent Care Clinic/Center
  • Hazlet, NJ
  • NPI 1245595313

  Family Medicine

  Medicare reassignment NPD
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  Medicare reassignment NPD
• Autumn Ridge Primary Care LLC

  • Internal Medicine Physician
  • Wall Township, NJ
  • NPI 1306471065
  NPD (past)
• Family Wellness Center PC

  • Family Medicine Physician
  • Middletown, NJ
  • NPI 1427020635
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1003836917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "STE 324",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-974-1980",
            "fax_number": "732-974-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 HWY 35 NORTH",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-219-7140",
            "fax_number": "732-219-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCI",
        "first_name": "ELAINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB66800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7966300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taha Awan
• Zaven S Ayanian, M.D.
• Maria Bernadette Azcarraga, PHYSICAL THERAPIST
• Abdur Azim, LSW
• Dawn Marie Babler, MA LPC
• Justin Louis Badamo, DMSC, PA-C
• Richard J Baietti, BCBA
• Nader Anthony Bakhos, MD
• Amanda Balarinni
• Holly Ann Baldwin, R.N., APN

• Family Medicine Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.