Individual provider Active NPI

Rebecca D Baxt, MD

  • Dermatology Physician
  • Paramus, NJ
National Provider Identifier
1417913245
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA66578 Issued in NJ
Practice address
351 Evelyn St
Paramus, NJ 07652
Phone
(201) 265-1300
Fax
(201) 265-3737
NPI assigned
Apr 21, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA66578 NJ Primary
Dermatology Physician 207N00000X 2132691 NY

Addresses

Primary practice location

351 Evelyn St
Paramus, NJ 07652

Mailing address

351 Evelyn St
Paramus, NJ 07652
Phone (201) 265-1300

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
I20101011000785 NJ Practitioner - Dermatology 5597957498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

351 Evelyn St
Suite 201
Paramus, NJ 07652-2901
Phone (201) 265-1300

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions326
Removal or shaving of skin growth24
Skin biopsy413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA66578NJMDDermatology Physician
2132691NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmedical Dermatology PA CurrentSince Jun 1, 2015 Accepting new patients
Cosmedical Plastic Surgery & Dermatology, PA Dermatology CurrentSince Jul 1, 2010 Accepting new patients
Cosmedical Plastic Surgery & Dermatology, PA Dermatology Past Accepting new patients

Locations

351 Evelyn St
Paramus, NJ 07652
Phone (201) 265-1300

351 Evelyn St
Ste 201
Paramus, NJ 07652
Phone (201) 265-1300

Interoperability endpoints

  • Direct secure messaging: rebecca.baxt.1@24719.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1417913245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 EVELYN ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-265-1300",
            "fax_number": "201-265-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 EVELYN ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-265-1300",
            "fax_number": "201-265-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXT",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA66578",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2132691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.