Amy Bailon, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA02680200 Issued in NJ

Practice address

21 Woodbine Rd
Florham Park, NJ 07932-2649

Phone

(973) 966-1446

Fax

(973) 966-1446

NPI assigned

Aug 30, 2012

Last updated

Aug 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1326397803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOODBINE RD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322649",
            "telephone_number": "973-966-1446",
            "fax_number": "973-966-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOODBINE RD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322649",
            "telephone_number": "973-966-1446",
            "fax_number": "973-966-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILON",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA02680200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Baddoura
• Caryn Beth Badian
• James J Bae, PA-C, PTA
• Bai Li Medical Center
• Bai Li Medical Health Center
• Zubin Mickey Bamboat, MD
• Banding Centers of America at Florham Park
• Judy L. Banks, M.D.
• Bariatric Psychological Services
• Lisa Barisciano, M.D.

• Pediatric Adolescent Medicine Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.