Sammy Sang-June Bai, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A94957 Issued in CA

Practice address

2486 5TH St
Fort Lee, NJ 07024-7840

Phone

(201) 585-1179

NPI assigned

Nov 14, 2006

Last updated

Apr 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Englewood Medical Associates Inc

  • Specialist
  • Englewood, NJ
  • NPI 1447392162
  NPD (past)
• Vital Medical Forces of Dover PC

  • Internal Medicine Physician
  • Dover, NJ
  • NPI 1720007701
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1386716579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 5TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247840",
            "telephone_number": "201-585-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 5TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247840",
            "telephone_number": "201-585-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "SAMMY",
        "middle_name": "SANG-JUNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08147700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axiomwellness LLC
• Babybuddha Products LLC
• Andrew Chungsup Bae, D.D.S
• Jay Kyung Bae, DDS
• Stacy Bagaloo
• Seoung Won Baik, MD
• Haley Balouch
• Raviprasad Bandi
• Scott M Banford, LCSW
• Harry Banschick, M.D.

• Internal Medicine Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.