Active NPI
Stuart E Baskin, M.D.
- Nephrology Physician
- Livingston, NJ
National Provider Identifier
1043240104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MA22828
- Practice address
- 315 E Northfield Rd
Suite 1a
Livingston, NJ 07039-4896 - Phone
- (973) 994-2121
- Fax
- (973) 535-8191
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MA22828 | NJ | Primary |
Addresses
Primary practice location
315 E Northfield Rd
Suite 1a
Livingston, NJ 07039-4896
Mailing address
315 E Northfield Rd
Suite 1a
Livingston, NJ 07039-4896
Phone (973) 994-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2728001 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA22828 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current | Accepting new patients |
Locations
140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043240104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E NORTHFIELD RD",
"address_2": "SUITE 1A",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394896",
"telephone_number": "973-994-2121",
"fax_number": "973-535-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E NORTHFIELD RD",
"address_2": "SUITE 1A",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394896",
"telephone_number": "973-994-2121",
"fax_number": "973-535-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKIN",
"first_name": "STUART",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "MA22828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2728001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- 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.