Baratta Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB07528000 Issued in NJ

Legal business name

BARATTA DERMATOLOGY LLC

Practice address

1299 Route 38
Ste 8
Hainesport, NJ 08036-2791

Phone

(609) 288-6884

Fax

(609) 667-7103

NPI assigned

Apr 25, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Baratta, MDNPI 1124080619

Title

Owner

Phone

(856) 235-0512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Baratta, D.O.

  • Dermatology Physician
  • Mount Laurel, NJ
  • NPI 1124080619
  Medicare reassignment Care Compare group NPD Authorized official
• Risa Jill Gorin, D.O.

  • Dermatology Physician
  • Red Bank, NJ
  • NPI 1770524274
  Medicare reassignment Care Compare group NPD
• Jennifer N Rogers, PA-C

  • Physician Assistant
  • Voorhees, NJ
  • NPI 1871593012
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1033564273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 ROUTE 38",
            "address_2": "STE 8",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362791",
            "telephone_number": "609-288-6884",
            "fax_number": "609-667-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 ROUTE 38",
            "address_2": "STE 8",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362791",
            "telephone_number": "609-288-6884",
            "fax_number": "609-667-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARATTA DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BARATTA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-235-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB07528000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Crystal Arias
• Giavanni Asberry
• Atlas Spine LLC
• Orin Keith Atlas, MD
• Eddita B Bakarr, MSN, FNP
• Thomas L Barnes, M.D.
• Kimberlee Gail Bazo, LPC
• BC Vella, Inc (PRN Medical Transport)
• Beacon Specialized Living New Jersey, Inc.
• Kyle Darien Palabrica Beloria

• Dermatology Physician in Hainesport, NJ
• Providers in Hainesport, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.