Individual provider Active NPI

Francis Jerome-Xavier Bain, MD

  • Family Medicine Physician
  • Wayne, NJ
National Provider Identifier
1174537898
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA37891 Issued in NJ
Practice address
1500 Alps Rd
Wayne, NJ 07470-3635
Phone
(973) 628-8500
Fax
(973) 628-7944
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA37891 NJ Primary

Addresses

Primary practice location

1500 Alps Rd
Wayne, NJ 07470-3635

Mailing address

1500 Alps Rd
Wayne, NJ 07470-3635
Phone (973) 628-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040908001303 NJ Practitioner - Family Practice 2961478102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1500 Alps Rd
Wayne, NJ 07470-3635
Phone (973) 628-8500

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA37891NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients

Locations

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

1500 Alps Rd
Wayne, NJ 07470
Phone (973) 628-8500

Interoperability endpoints

  • Direct secure messaging: frank.bain@direct.carepointhealth.org
  • Direct secure messaging: fbain236799@direct.englewoodhealth.org

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.

Hospital & facility affiliations 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1174537898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703635",
            "telephone_number": "973-628-8500",
            "fax_number": "973-628-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703635",
            "telephone_number": "973-628-8500",
            "fax_number": "973-628-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "FRANCIS",
        "middle_name": "JEROME-XAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA37891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.