Individual provider Active NPI

Matt Dane Baker, PA-C

  • Medical Physician Assistant
  • Wrightstown, NJ
National Provider Identifier
1285620039
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA000629L Issued in PA
Practice address
108 MDG. NJ Air National Guard.
3466 Neely Road. McGuire AFB
Wrightstown, NJ 08641-5406
Phone
(609) 754-2635
NPI assigned
Sep 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA000629L PA Primary

Addresses

Primary practice location

108 MDG. NJ Air National Guard.
3466 Neely Road. McGuire AFB
Wrightstown, NJ 08641-5406

Mailing address

719 Bridgeview Rd
Langhorne, PA 19053-1930
Phone (215) 630-9647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA000629LPAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285620039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 BRIDGEVIEW RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190531930",
            "telephone_number": "215-630-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MDG.  NJ AIR NATIONAL GUARD.",
            "address_2": "3466 NEELY ROAD. MCGUIRE AFB",
            "city": "WRIGHTSTOWN",
            "state": "NJ",
            "postal_code": "086415406",
            "telephone_number": "609-754-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MATT",
        "middle_name": "DANE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000629L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.