Individual provider Active NPI

Angie Baez

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1518675818
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01393200 Issued in NJ
Practice address
550 Broad St Ste 606
Newark, NJ 07102-4537
Phone
(201) 822-1161
Fax
(877) 485-8918
NPI assigned
Nov 7, 2022
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01393200 NJ Primary

Addresses

Primary practice location

550 Broad St Ste 606
Newark, NJ 07102-4537

Mailing address

43 S Ridge CT
Ridgefield, CT 06877-5420
Phone (201) 822-1161

Other practice location 1

2407 Allegheny Ave
Vineland, NJ 08360-7206
Phone (201) 500-6992

Other practice location 2

765 Route 70 E Bldg A100
Marlton, NJ 08053-2341
Phone (856) 983-3900

Other identifiers 1

IdentifierTypeStateIssuer
0887269MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL credentialing@cfgpc.com

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112001592 NJ Practitioner - Nurse Practitioner 0648640417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC Psychiatric/Mental Health CurrentSince May 12, 2023 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Sep 1, 2024 Accepting new patients
SJ Mental Healthcare Psychiatric/Mental Health Current Accepting new patients
Inpathy Behavioral Healthcare Group LLC PastSince Nov 1, 2022 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince May 12, 2023 Accepting new patients
Center for Family Guidance PC PastSince Nov 1, 2022 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

Interoperability endpoints

  • Direct secure messaging: angie.baezapn.p1@direct.cfg.nextgenshare.com

Organizations & group practices 6

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1518675818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S RIDGE CT",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068775420",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROAD ST STE 606",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024537",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2407 Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607206",
            "country_code": "US",
            "telephone_number": "201-500-6992",
            "fax_number": "833-605-4359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Route 70 E Bldg A100",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532341",
            "country_code": "US",
            "telephone_number": "856-983-3900",
            "fax_number": "856-797-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "ANGIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01393200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887269",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "credentialing@cfgpc.com",
            "affiliation": "N",
            "address_1": "765 Route 70 E Bldg A100",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.