Individual provider Active NPI

Gladwyn D Baptist, MD

  • Cardiovascular Disease Physician
  • Bridgeton, NJ
National Provider Identifier
1255390944
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA03666500 Issued in NJ
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3711200MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000226 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092748723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians

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 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Atlantic Medical Imaging CurrentSince Oct 1, 2020 Accepting new patients
Community Health Care, Inc. PastSince Nov 10, 2014 Accepting new patients
Tilton Dynamic Imaging PastSince May 25, 2004 Accepting new patients
Iqbal and Khan Surgical Associates PA PastSince Jun 29, 2011 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Completecare Health NetworkVineland, NJ, CCN 311888 Federally qualified health center Corporate Officer Jan 1, 2011
Completecare Health NetworkMillville, NJ, CCN 311860 Federally qualified health center Corporate Officer Jan 1, 2011
Completecare Health NetworkBridgeton, NJ, CCN 311807 Federally qualified health center Corporate Director Apr 28, 2015
Completecare Health NetworkCape May Court House, NJ, CCN 311864 Federally qualified health center Corporate Director Sep 24, 2010
Completecare Health NetworkBridgeton, NJ, CCN 311897 Federally qualified health center Corporate Director Jan 1, 2011
Completecare Health NetworkWildwood, NJ, CCN 311905 Federally qualified health center Corporate Officer Jan 1, 2011
Completecare Health NetworkWoodbury, NJ, CCN 311918 Federally qualified health center Corporate Director May 12, 2014
Completecare Health NetworkVineland, NJ, CCN 311941 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.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.