Michael Baruch, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA04607400 Issued in NJ

Practice address

1037 Route 46 East
Suite 103
Clifton, NJ 07013

Phone

(973) 773-1973

Fax

(973) 773-4824

NPI assigned

Jun 7, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1336189604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-773-1973",
            "fax_number": "973-773-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46 EAST",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-773-1973",
            "fax_number": "973-773-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA04607400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Barrese, D.C.
• Adrianne Marie Barron, LSW, CCM
• Barry D. Raphael, DMD, PA
• Roy L Barsola, PT, DPT
• Gregory P Bartoszek, PH.D.
• Penina Baruch, OTR/L
• Sweta Barvalia, PHARMD
• Michael Paul Basista, M.D.
• Janette Basta
• Magdy Basta, M.D.

• All providers in Clifton, NJ
• Plastic Surgery Physician in New Jersey

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

Verify at the official NPI Registry.