Hadley S Bach, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039974 Issued in NY

Practice address

1966 Newbold Ave
Suite 107
Bronx, NY 10472-5024

Phone

(718) 863-9733

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013079920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 BEATRICE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662508",
            "telephone_number": "718-863-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 NEWBOLD AVE",
            "address_2": "SUITE 107",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104725024",
            "telephone_number": "718-863-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "HADLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01011081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo Baccellieri, MD
• Caslene C Bacchus
• Zeena Aleeza Bacchus, NP
• Lea Bach-Bachich, MD
• Vjera Bach-Bachich, M.D.
• Matthew Bach
• Moses Bachan, MD
• Gulnaz Naurozali Bachlani, MD
• Mena Bachu
• Danilo Bacic Lima, MD

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.