Individual provider Active NPI

Michael Jay Baum, D.O.

  • Family Medicine Physician
  • South Plainfield, NJ
National Provider Identifier
1376694786
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB04528600 Issued in NJ
Practice address
908 Oak Tree Ave Ste L
South Plainfield, NJ 07080-5100
Phone
(908) 757-6660
Fax
(908) 757-5332
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB04528600 NJ Primary

Addresses

Primary practice location

908 Oak Tree Ave Ste L
South Plainfield, NJ 07080-5100

Mailing address

908 Oak Tree Ave Ste L
South Plainfield, NJ 07080-5100
Phone (908) 757-6660

Other identifiers 1

IdentifierTypeStateIssuer
25MB04528600OtherNJLICENSE

Other names 1

  • Prof. Doctors Care Associa L.L.C. Professional name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000679 NJ Practitioner - Family Practice 3577751643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

908 Oak Tree Ave
Suite L
South Plainfield, NJ 07080-5134
Phone (908) 757-6660

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB04528600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Care Associates, L.L.C. Family Medicine CurrentSince Feb 3, 2010 Accepting new patients

Locations

908 Oak Tree Ave
Ste L
South Plainfield, NJ 07080
Phone (908) 757-6660

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1376694786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 OAK TREE AVE STE L",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805100",
            "telephone_number": "908-757-6660",
            "fax_number": "908-757-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 OAK TREE AVE STE L",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805100",
            "telephone_number": "908-757-6660",
            "fax_number": "908-757-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB04528600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MB04528600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOCTORS CARE ASSOCIA",
            "last_name": "L.L.C.",
            "prefix": "PROF.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.