Donald J Baker M D L L C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA06217400 Issued in NJ

Legal business name

DONALD J BAKER M D L L C

Practice address

146 Lakeview Dr S
Suite 202
Gibbsboro, NJ 08026-1018

Phone

(856) 782-8688

Fax

(856) 782-8227

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald John Baker, M.D.

Title

Owner

Phone

(856) 782-8688

Specialties & licenses 1

Addresses

Other names 1

• CENTER FOR INTEGRATIVE DERMATOLOGY Other name

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1295988772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 LAKEVIEW DR S",
            "address_2": "SUITE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-782-8688",
            "fax_number": "856-782-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 LAKEVIEW DR S",
            "address_2": "SUITE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-782-8688",
            "fax_number": "856-782-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J BAKER M D L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-782-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA06217400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR INTEGRATIVE DERMATOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Gibbsboro, NJ
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.