Active NPI
Gladwyn D Baptist, MD
- Cardiovascular Disease Physician
- Bridgeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA03666500
- Practice address
- 10 Magnolia Ave
Suite F
Bridgeton, NJ 08302-1760 - Phone
- (856) 455-2222
- Fax
- (856) 455-6541
- NPI assigned
- Mar 21, 2006
- Last updated
- Jan 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA03666500 | NJ | Primary |
Addresses
Primary practice location
10 Magnolia Ave
Suite F
Bridgeton, NJ 08302-1760
Mailing address
10 Magnolia Ave
Suite F
Bridgeton, NJ 08302-1760
Phone (856) 455-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3711200 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1051 W Sherman Ave
Vineland, NJ 08360-6931
Phone (856) 691-8070
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 98.86
- Improvement activities
- 40
- Cost
- 77.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.34 of 100
- Quality
- 78.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Medical Imaging | Current | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Tilton Dynamic Imaging | Past | Accepting new patients | |
| Iqbal and Khan Surgical Associates PA | Past | Accepting new patients |
Locations
455 Jack Martin Blvd
Brick, NJ 08724
Phone (516) 543-1155
495 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 202-9222
6529 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 645-8500
44 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 652-3070
44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349
37 Nautilus Dr
Manahawkin, NJ 08050
Phone (609) 597-2001
2399 Highway 34
Bldg B
Manasquan, NJ 08736
Phone (732) 223-9729
4450 Black Horse Pike
Ste 3982
Mays Landing, NJ 08330
Phone (609) 616-2920
1226 Tilton Rd
Northfield, NJ 08225
Phone (609) 383-2400
524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 582-2000
30 E Maryland Ave
Somers Point, NJ 08244
Phone (609) 653-0209
864 Route 37 W
Toms River, NJ 08755
Phone (732) 341-7433
1450 E Chestnut Ave
Bldg 4
Vineland, NJ 08361
Phone (856) 794-1700
1450 E Chestnut Ave
Ste 4A
Vineland, NJ 08361
Phone (856) 794-1700
Interoperability endpoints
- gladwyn.baptist.p1@direct.hearthousenj.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 8
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Completecare Health Network | Federally qualified health center | Corporate Officer | Jan 1, 2011 |
| Completecare Health Network | Federally qualified health center | Corporate Officer | Jan 1, 2011 |
| Completecare Health Network | Federally qualified health center | Corporate Director | Apr 28, 2015 |
| Completecare Health Network | Federally qualified health center | Corporate Director | Sep 24, 2010 |
| Completecare Health Network | Federally qualified health center | Corporate Director | Jan 1, 2011 |
| Completecare Health Network | Federally qualified health center | Corporate Officer | Jan 1, 2011 |
| Completecare Health Network | Federally qualified health center | Corporate Director | May 12, 2014 |
| Completecare Health Network | Federally qualified health center | Corporate Director | Jan 1, 2024 |
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Vineland, NJ
- NPI 1154592459
Corporate Officer
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1215242516
Corporate Director
-
dba CompleteCare Health Network- Woodbury
- Federally Qualified Health Center (FQHC)
- Woodbury, NJ
- NPI 1235535113
Corporate Director
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1346342441
Corporate Officer
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Cape May Court House, NJ
- NPI 1689785610
Corporate Director
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Vineland, NJ
- NPI 1699089847
Corporate Director
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1720198740
Corporate Director
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Wildwood, NJ
- NPI 1730527805
Corporate Officer
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Haddon Heights, NJ
- NPI 1366495632
-
- Specialist
- Galloway, NJ
- NPI 1396771556
-
- Cardiovascular Disease Physician
- Bridgeton, NJ
- NPI 1356545743
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Surgery Physician
- Bridgeton, NJ
- NPI 1801987086
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Northfield, NJ
- NPI 1265478747
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1255390944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MAGNOLIA AVE",
"address_2": "SUITE F",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021760",
"telephone_number": "856-455-2222",
"fax_number": "856-455-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAGNOLIA AVE",
"address_2": "SUITE F",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021760",
"telephone_number": "856-455-2222",
"fax_number": "856-455-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAPTIST",
"first_name": "GLADWYN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA03666500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3711200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.