Individual provider Active NPI

Henry M Baquiran, MD

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1093863508
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
158209 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 583-7736
Fax
(718) 537-6180
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04295300 NJ
General Practice Physician 208D00000X 42953001 NJ
General Practice Physician 208D00000X 158209 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401

Other practice location 1

1900 Union Valley Rd
Hewitt, NJ 07421
Phone (973) 728-5930

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926002014 NY Practitioner - Family Practice 7214991942 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Hospital & facility affiliations

  • Hospice of New York, LLC Hospice, Long Island City, NY, CCN 331560
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • The Plaza Rehab and Nursing Center Nursing home, Bronx, NY, CCN 335462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42953001NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Jun 15, 2025 Accepting new patients
Sovereign Medical Group LLC Internal Medicine CurrentSince Aug 17, 2013 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Aug 17, 2013 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
Lagrangeville Medical PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 15, 2025 Accepting new patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Aug 5, 2024 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
Walk in Medical Urgent Care, P.C. CurrentSince Aug 1, 2022 Accepting new patients
Medassist NJ II CurrentSince Nov 1, 2023 Accepting new patients
Ilm Medical Care PLLC CurrentSince Jan 1, 2024 Accepting new patients
Tcprnc, LLC Past Accepting new patients

Locations

1900 Union Valley Rd
Hewitt, NJ 07421
Phone (973) 248-0200

1900 Union Valley Rd
#M
Hewitt, NJ 07421
Phone (732) 728-5930

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3518 Bainbridge Ave
Bronx, NY 10467
Phone (212) 410-9047

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

99 Emerson Pl
Ste 201
Brooklyn, NY 11205

71 Franklin Ave
Franklin Square, NY 11010
Phone (347) 885-9963

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

236 S Main St
New City, NY 10956
Phone (845) 678-3434

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: hbaquiran@tpuc-nj.direct.office.nextgen.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1093863508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612631",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-583-7736",
            "fax_number": "718-537-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Union Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Hewitt",
            "state": "NJ",
            "postal_code": "07421",
            "country_code": "US",
            "telephone_number": "973-728-5930",
            "fax_number": "973-728-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAQUIRAN",
        "first_name": "HENRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04295300",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "42953001",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "158209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.