Moonki Baik, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01883800 Issued in NJ

Practice address

464 Hudson Ter Ste 204
Englewood Cliffs, NJ 07632-2917

Phone

(201) 567-0005

NPI assigned

Sep 23, 2019

Last updated

Dec 28, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 464 Rapha Physical Therapy

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1700655032
  NPD Authorized official

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1417508250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-567-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-567-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIK",
        "first_name": "MOONKI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01883800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism Spectrum16 LLC (Success On The Spectrum)
• Edward F. Aversa
• Az Clinic (NewSong clinic)
• David Michael Bacha, D.O.
• Kyoung Sun Baek, APN RPN
• Jennel Olicia Ballard, FNP
• Daniella Jo Barber, DO
• Esther Barsella
• Baruch Medical PC (All of Pain)
• Basil Christian Investments LLC

• Physical Therapy Clinic/Center in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.