Active NPI
Ada Baisre-de Leon, M.D.
- Neuropathology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuropathology Physician
- License
- 25MA08631000
- Practice address
- 185 S Orange Ave
MSB C557
Newark, NJ 07103-2757 - Phone
- (973) 972-7167
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 25MA08631000 | NJ | |
| Neuropathology Physician | 207ZN0500X | 25MA08631000 | NJ | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA08631000 | NJ |
Addresses
Primary practice location
185 S Orange Ave
MSB C557
Newark, NJ 07103-2757
Mailing address
185 S Orange Ave
MSB C557
Newark, NJ 07103-2757
Phone (973) 972-7167
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6936
Hospital & facility affiliations
- The University Hospital
- Robert Wood Johnson University Hospital
- Community Medical Center
- Monmouth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08631000 | NJ | MD | Molecular Genetic Pathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Neuropathology | Current | Accepting new patients |
Locations
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
Organizations & group practices 2
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.
-
- Blood Banking & Transfusion Medicine Physician
- Newark, NJ
- NPI 1871503474
Neuropathology
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1407015373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE",
"address_2": "MSB C557",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE",
"address_2": "MSB C557",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAISRE-DE LEON",
"first_name": "ADA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "NJ",
"license": "25MA08631000",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "NJ",
"license": "25MA08631000",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA08631000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.