Bayfront Medical Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA07937600 Issued in NJ

Legal business name

BAYFRONT MEDICAL ASSOCIATES, LLC

Practice address

1809 John F Kennedy Blvd
Ground Floor
Jersey City, NJ 07305-2184

Phone

(201) 763-6664

Fax

(201) 763-6840

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dilruba Khanam, M.D.NPI 1548337322

Title

Family Medicine Physician

Phone

(201) 763-6664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dilruba Khanam, M.D.

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1548337322
  Medicare reassignment NPD Authorized official
• S M Golam Kibrea, M.D.

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1306012182
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1508168709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 JOHN F KENNEDY BOULEVARD",
            "address_2": "GROUND FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052184",
            "telephone_number": "201-763-6664",
            "fax_number": "201-763-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 JOHN F KENNEDY BLVD",
            "address_2": "GROUND FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052184",
            "telephone_number": "201-763-6664",
            "fax_number": "201-763-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFRONT MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "KHANAM",
        "authorized_official_first_name": "DILRUBA",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "201-763-6664",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA07937600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchika Batwara, MD
• Cordelia Baum
• Ben Jay Bautista
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Jigger John Baylon, PT
• Dulce Corazon Mendoza Bayot, APN
• Lovely Bayron, PT
• Laura Bazile
• Laura Beach, LMFT

• Family Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.