Active NPI
Agnieszka Bara, DMD, MAGD
- Dentist
- Middlesex, NJ
National Provider Identifier
1497904957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02157200
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307000014 | NJ | Order and Referring Only - Oral Surgery | 6800192576 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02157200 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Middlesex, NJ
- NPI 1205251485
-
- General Practice Dentistry
- Middlesex, NJ
- NPI 1407068216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.