Johanna Baeuerle, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

151232 Issued in NY

Practice address

326 N Highland Ave
Nyack, NY 10960-1416

Phone

(845) 358-3300

Fax

(845) 358-3375

NPI assigned

Jul 19, 2005

Last updated

Jul 8, 2007By 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

Enrolled in NY

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

Specialty

Dermatology

Education

New York University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: baeuerl@direct.nyp.org

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346249794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 PIERMONT AVE",
            "city": "SOUTH NYACK",
            "state": "NY",
            "postal_code": "109604610",
            "telephone_number": "845-353-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N HIGHLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601416",
            "telephone_number": "845-358-3300",
            "fax_number": "845-358-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEUERLE",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "151232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Avva, M.D
• Marianne Azar-Goodnight, CRNA
• Stephanie Azevedo, PA-C
• Ann Pia Baby, MBBS, MD
• Nancy R Bachman, LCSW-R
• Gaurav Bajaj, PHARMD
• Nava Bak, MD
• Stacey Lynne Barba, OTR/L
• Nickey Barcoo, RDMS, RVT
• Gloria Barlow Bernhardt, LMSW

• Procedural Dermatology Physician in Nyack, NY
• Providers in Nyack, NY by specialty
• Procedural Dermatology Physician in New York

• 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; Order and Referring.
• 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.