Active NPI
Fenglei Bao
- Social Worker
- Fort Lee, NJ
National Provider Identifier
1154083244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1165 Palisade Ave
Fort Lee, NJ 07024-6427 - Phone
- (347) 348-6021
- NPI assigned
- Oct 6, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1165 Palisade Ave
Fort Lee, NJ 07024-6427
Mailing address
1165 Palisade Ave
Fort Lee, NJ 07024-6427
Phone (347) 348-6021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1154083244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 PALISADE AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246427",
"telephone_number": "347-348-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 PALISADE AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246427",
"telephone_number": "347-348-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAO",
"first_name": "FENGLEI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-06",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.