Radha Baum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331994 Issued in NY

Practice address

64 Red Hill Rd
New City, NY 10956-1612

Phone

(845) 893-9333

NPI assigned

Sep 17, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Sea Wave NP Adult Health PC

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1295360725
  NPD

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1386977668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 E 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341430",
            "telephone_number": "347-693-5790",
            "fax_number": "315-532-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RED HILL RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561612",
            "telephone_number": "845-893-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 East 39th Street",
            "address_2": "Suite 914",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160111",
            "country_code": "US",
            "telephone_number": "347-693-5790",
            "fax_number": "315-532-6773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Wanamaker Ln",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601427",
            "country_code": "US",
            "telephone_number": "347-693-5790",
            "fax_number": "315-532-6773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 S Main St",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "10956",
            "country_code": "US",
            "telephone_number": "845-893-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "RADHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart W Silverman DMD PC
• Eugene Harvey Bass, DMD
• Sharon N Bass, PT
• Gregory Carl Bassell, DPT
• Joe Battaglia, AT STUDENT
• Mohamed Bawadikji
• Susan G Baxt, MSW
• Marlene Beauvil, BSN
• Christina Becker, COTA
• Lyle Becourtney, PSY.D.

• Family Nurse Practitioner in New City, NY
• Providers in New City, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.