Paul Bailey

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

4 Riverside Dr
Suffern, NY 10901-5704

Phone

(347) 968-1764

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1497324602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVERSIDE DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015704",
            "telephone_number": "347-968-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVERSIDE DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015704",
            "telephone_number": "347-968-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank R Aversano Jr., M.D.
• Alice Azzalin, M.D.
• B. Richard Nunziata, M.D., P.C.
• Eridania Maria Baez Quezada, DDS
• Bernard Baez, M.D.
• Rishi Bajaj, MD
• Ashley N Baker, LPN
• Yolani Baker, RN
• Monica Ballou, LPN
• Henry Zvi Bareket, MD

• Specialist in Suffern, NY
• Providers in Suffern, NY by specialty
• Specialist in New York

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