Individual provider Active NPI

Agnieszka Bara, DMD, MAGD

  • Dentist
  • Middlesex, NJ
National Provider Identifier
1497904957
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02157200 Issued in NJ
Practice address
476 Union Ave
Middlesex, NJ 08846-1930
Phone
(732) 537-9922
Fax
(732) 537-9920
NPI assigned
Sep 9, 2008
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02157200 NJ Primary

Addresses

Primary practice location

476 Union Ave
Middlesex, NJ 08846-1930

Mailing address

476 Union Ave
Middlesex, NJ 08846-1930
Phone (732) 537-9922

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307000014 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800192576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02157200NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Modern Dentistry PC Past Accepting new patients
Michael Maser, Agnieszka Bara, D.M.D., LLC Past Accepting new patients

Organizations & group practices 2

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1497904957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 UNION AVE",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461930",
            "telephone_number": "732-537-9922",
            "fax_number": "732-537-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 UNION AVE",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461930",
            "telephone_number": "732-537-9922",
            "fax_number": "732-537-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARA",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "credential": "DMD, MAGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02157200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

Verify at the official NPI Registry.