Active NPI
Jose A Baez, MD
- Geriatric Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 197338-1
- Practice address
- 707West 171 Street
Suite W
New York, NY 10032 - Phone
- (212) 927-4765
- Fax
- (212) 927-4857
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 197338-1 | NY | Primary |
Addresses
Primary practice location
707West 171 Street
Suite W
New York, NY 10032
Mailing address
155 Saint Johns Ave
Yonkers, NY 10704-2913
Phone (914) 969-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01530354 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Psychiatry
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 378-6148
16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 365-4065
Hospital & facility affiliations
- Montefiore New Rochelle Hospital
- Montefiore Mount Vernon Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197338-1 | NY | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore New Rochelle Hospital | Current | Accepting new patients | |
| Jamaica Psychiatric Services, PC | Current | Accepting new patients | |
| Montefiore Mount Vernon Hospital | Current | Accepting new patients | |
| Haven Family Medicine, P.C. | Past | Accepting new patients |
Locations
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1295163244
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Psychiatric Hospital Unit
- Jamaica, NY
- NPI 1427005065
-
- Family Medicine Physician
- New York, NY
- NPI 1003503392
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1992131320
-
- General Acute Care Hospital
- New Rochelle, NY
- NPI 1720414154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1497781371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SAINT JOHNS AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107042913",
"telephone_number": "914-969-7921",
"fax_number": "914-969-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707WEST 171 STREET",
"address_2": "SUITE W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-927-4765",
"fax_number": "212-927-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ",
"first_name": "JOSE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "197338-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01530354",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.