Baker Pediatrics LLC
Organization Active NPI Pediatrics Physician · Edgewater, NJ
NPI 1194487397 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1194487397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Zeyad Baker, MD
- Title
- President
- Phone
- (201) 779-3460
Practitioners 38
-
Basel Baghal, D.O.
-
Iyad Baker, M.D.
-
Sara Baker, DNP
-
Samantha Garrido, NP
-
Mohammad Jurri, MD
-
Tayyab Malik, MD
-
Marina I Salib, MD
-
Nelly Singh, DO
-
Auda Auda, MD
-
Amira Moussa, DO
-
Diana Palanker, MD
-
Michael Tsadyk, MD
-
Maria Elena Alcantara, MSN, ANP
-
Zobida Aligour, MD
-
Kristy Atoot, MSN, APN, FNP-C
-
Zeyad Baker, M.D.
-
Lisa Brzezinski, APN
-
Diana Lisa Casianos, DNP, APN
-
Wilson Eduardo Delgado, M.D.
-
Jocelyn Patricia Mariani, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2236387 | Baker Pediatrics LLC | Certificate of waiver | Sep 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
855 Valley Rd
Ste 112
Clifton, NJ 07013
Phone (551) 355-1200
250 Moonachie Rd
Moonachie, NJ 07074
Phone (201) 596-6262
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
- https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
34 The Promenade
Edgewater, NJ 07020-2127
Mailing address
34 The Promenade
Edgewater, NJ 07020-2127
Phone (551) 355-1200
Other providers in Edgewater, NJ
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- Vanessa Baggio
- Yaron Bareket
- Beam Dental Edgewater, PC
- Brian Bechtold
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All providers in Edgewater, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.