Individual provider Active NPI

Karen Baez, PT

  • Specialist
  • Staten Island, NY
National Provider Identifier
1336368356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
078954-7 Issued in NY
Practice address
800 Manor Rd
Staten Island, NY 10314-7034
Phone
(718) 448-6800
Fax
(718) 448-9458
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 078954-7 NY Primary

Addresses

Primary practice location

800 Manor Rd
Staten Island, NY 10314-7034

Mailing address

939 Hylan Blvd
Staten Island, NY 10305-2080
Phone (718) 448-8237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000343 NY Practitioner - Physical Therapist in Private Practice 0143373530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Internal Medicine Group, P.C.Group PAC ID 2769452036, 4 clinicians

Practice addresses (Care Compare)

1551 Richmond Rd
Suite 2B
Staten Island, NY 10304-2338
Phone (718) 448-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078954-7NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Internal Medicine Group, P.C. CurrentSince Apr 1, 2016 Accepting new patients

Locations

1551 Richmond Rd
Ste 2B
Staten Island, NY 10304
Phone (347) 696-4113

800 Manor Rd
Ste 4
Staten Island, NY 10314
Phone (718) 448-6800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDJAA

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336368356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052080",
            "telephone_number": "718-448-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034",
            "telephone_number": "718-448-6800",
            "fax_number": "718-448-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "078954-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.