Anita C Baldomero

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03706900 Issued in NJ

Practice address

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone

(973) 322-5437

Fax

(973) 322-8833

NPI assigned

Jul 7, 2006

Last updated

May 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicu Associates at Saint Barnabas

  • Neonatal-Perinatal Medicine Physician
  • Livingston, NJ
  • NPI 1992753115
  NPD (past)
• Saint Barnabas Heart Center at Hackettstown

  • Cardiovascular Disease Physician
  • Hackettstown, NJ
  • NPI 1346471513
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1215960133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEST GILBERT ST",
            "city": "REDBANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5437",
            "fax_number": "973-322-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOMERO",
        "first_name": "ANITA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03706900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bala Ganapati Inc (Bergen Pharmacy)
• Bala Ganapati Inc (Bergen Pharmacy)
• Bala Ganapati Inc.
• Beth Balavram, P.A.
• Voltaire Reyes Balderrama, P.T.
• Marc Balson
• Argel Rannier Baltazar, AGACNP-BC
• Pawel Bankowski, ATC
• Sakinah Banks, NP
• Malka Merav Bannet, D.O.

• Specialist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.