Individual provider Active NPI

Anetta Teresa Bakalarz, M.S.

  • Student in an Organized Health Care Education/Training Program
  • Queens Village, NY
National Provider Identifier
1174664270
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
227-08 Hillside Avenue Apt. #1
Queens Village, NY 11427-2626
Phone
(718) 465-4934
Fax
(718) 465-4934
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY Primary

Addresses

Primary practice location

227-08 Hillside Avenue Apt. #1
Queens Village, NY 11427-2626

Mailing address

227-08 Hillside Avenue Apt. #1
Queens Village, NY 11427-2626
Phone (718) 465-4934

Other names 1

  • Miss Anetta Teresa Bakalarz Professional name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1174664270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227-08 HILLSIDE AVENUE APT. #1",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272626",
            "telephone_number": "718-465-4934",
            "fax_number": "718-465-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227-08 HILLSIDE AVENUE APT. #1",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272626",
            "telephone_number": "718-465-4934",
            "fax_number": "718-465-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALARZ",
        "first_name": "ANETTA",
        "middle_name": "TERESA",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANETTA",
            "last_name": "BAKALARZ",
            "middle_name": "TERESA",
            "prefix": "MISS",
            "credential": "M.S.E.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.