Individual provider Active NPI

Pammi T Bais, M.D.

  • Specialist
  • Monroe Township, NJ
National Provider Identifier
1326264185
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA061092 Issued in NJ
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

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922000122 NJ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3678517968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA061092NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.