Michael Angelo Aton Bayawa, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ01020000 Issued in NJ

Practice address

988 Broadway Ste 201
Bayonne, NJ 07002-4036

Phone

(201) 339-6333

Fax

(201) 339-6111

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• BHMG - United Medical

  • Internal Medicine Physician
  • Lyndhurst, NJ
  • NPI 1639594377

  NJ

  Medicare reassignment Care Compare group NPD
• The Kidney Group PA

  • Nephrology Physician
  • Newark, NJ
  • NPI 1326218546
  NPD (past)

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1356970180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 BROADWAY STE 201",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024036",
            "telephone_number": "201-339-6333",
            "fax_number": "201-339-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 BROADWAY STE 201",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024036",
            "telephone_number": "201-339-6333",
            "fax_number": "201-339-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Brighton Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121647",
            "country_code": "US",
            "telephone_number": "973-777-7911",
            "fax_number": "862-660-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYAWA",
        "first_name": "MICHAEL ANGELO",
        "middle_name": "ATON",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01020000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01020000",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01020000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01020000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Bartellino, RPH
• Nauman Basit, M.D
• Maria Batista
• Tiffany Battagliola, M.D.
• Bay Dental Associates, LLC
• Bayonne Advanced Medical Practice
• Bayonne Anesthesia Associates, LLC
• Bayonne Board of Education
• Bayonne Cardiology Group, PA
• Bayonne Community Mental Health Center

• Primary Care Nurse Practitioner in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.