NPIMap

Organization Active NPI

Baker Pediatrics LLC

  • Pediatrics Physician
  • Edgewater, NJ
National Provider Identifier
1194487397
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAKER PEDIATRICS LLC
Practice address
34 The Promenade
Edgewater, NJ 07020-2127
Phone
(551) 355-1200
NPI assigned
Oct 6, 2021
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Dr. Zeyad Baker, MDNPI 1730328634
Title
President
Phone
(201) 779-3460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

34 The Promenade
Edgewater, NJ 07020-2127

Mailing address

34 The Promenade
Edgewater, NJ 07020-2127
Phone (551) 355-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221111000006 NJ Part B Supplier - Clinic/Group Practice 7719354398 Receives reassigned benefits from 30 practitioners
Practice locations: Paramus, NJ; Moonachie, NJ; Edgewater, NJ; Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2236387Baker Pediatrics LLC34 The Promenade, Edgewater, NJ 07020Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

855 Valley Rd
Ste 112
Clifton, NJ 07013
Phone (551) 355-1200

34 The Promenade
Edgewater, NJ 07020
Phone (551) 355-1200

140 N State Rt 17
Fl 2
Paramus, NJ 07652

140 N State Rt 17
Ste 2
Paramus, NJ 07652

76 W Brighton Ave
#104105
Brooklyn, NY 11224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1194487397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 THE PROMENADE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202127",
            "telephone_number": "551-355-1200",
            "fax_number": "551-355-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 THE PROMENADE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202127",
            "telephone_number": "551-355-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-779-3460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.