Active NPI
Pammi T Bais, M.D.
- Specialist
- Monroe Township, NJ
National Provider Identifier
1326264185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA061092
- Practice address
- 357 Applegarth Rd
Suite 11
Monroe Township, NJ 08831 - Phone
- (609) 409-2400
- Fax
- (609) 409-2404
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA061092 | NJ | Primary |
Addresses
Primary practice location
357 Applegarth Rd
Suite 11
Monroe Township, NJ 08831
Mailing address
357 Applegarth Rd
Ste 11
Monroe Township, NJ 08831
Phone (609) 409-2400
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170922000122 | NJ | Order and Referring Only - Internal Medicine | 3678517968 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061092 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pavilion Medical Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Monroe Township, NJ
- NPI 1689972002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1326264185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 APPLEGARTH RD",
"address_2": "STE 11",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "08831",
"telephone_number": "609-409-2400",
"fax_number": "609-409-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 APPLEGARTH RD",
"address_2": "SUITE 11",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "08831",
"telephone_number": "609-409-2400",
"fax_number": "609-409-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIS",
"first_name": "PAMMI",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA061092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.