Active NPI
Rebecca Baxt, M.D., PC
- Dermatology Physician
- New York, NY
National Provider Identifier
1083983506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 213269-1
- Legal business name
- REBECCA BAXT, M.D., PC
- Practice address
- 635 Madison Ave
3Rd Floor
New York, NY 10022-1009 - Phone
- (212) 753-6033
- Fax
- (212) 308-6847
- NPI assigned
- Dec 29, 2011
- Last updated
- Dec 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Baxt, M.D.
- Title
- President
- Phone
- (201) 265-1300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 213269-1 | NY | Primary |
| Dermatology Physician | 207N00000X | 25MA06657800 | NJ |
Addresses
Primary practice location
635 Madison Ave
3Rd Floor
New York, NY 10022-1009
Mailing address
651 Evelyn St
Paramus, NJ 07652-2901
Phone (201) 265-1300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatology Physician
- Paramus, NJ
- NPI 1417913245
-
- Dermatology Physician
- Paramus, NJ
- NPI 1417919051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1083983506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 EVELYN ST",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522901",
"telephone_number": "201-265-1300",
"fax_number": "201-265-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MADISON AVE",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221009",
"telephone_number": "212-753-6033",
"fax_number": "212-308-6847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA BAXT, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "BAXT",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-265-1300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "213269-1",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA06657800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.