Karen Elizabeth Baddoura
Individual provider Active NPI Anesthesiology Physician · Florham Park, NJ
NPI 1467080937 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1467080937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 25MA12072500 (NJ)
- Practice address
- 140 Park Ave
Florham Park, NJ 07932-1049 - Phone
- (973) 718-5800
- Fax
- (973) 829-4332
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group PA
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240830001425 | NJ | Practitioner - Anesthesiology | 7810436110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12072500 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current |
Accepting new patients | |
| Summit Medical Group PA | Current |
Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
140 Park Ave
Florham Park, NJ 07932
Phone (973) 285-7613
150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890
Interoperability endpoints
- karen.baddoura.1@2983.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 25MA12072500 | NJ | Yes |
Addresses
Primary practice location
140 Park Ave
Florham Park, NJ 07932-1049
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Other providers in Florham Park, NJ
- Atlantic Neurocare LLC
- Atlantic Orthopaedic Associates, LLC
- Atrium Medical Group
- Jocelyn Christina Avila
- Adrianna C Baccaro
- Caryn Beth Badian
- James J Bae
- Bai Li Medical Center
- Bai Li Medical Health Center
- Amy Bailon
All providers in Florham Park, NJ · Anesthesiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.