Organization Active NPI

Julissa Baez MD PC

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1538408075
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
232901 Issued in NY
Legal business name
JULISSA BAEZ MD PC
Practice address
232 E 12TH St
Unit 1G
New York, NY 10003-9151
Phone
(646) 524-6351
Fax
(646) 524-6362
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Julissa Baez, MDNPI 1609091909
Title
Owner
Phone
(646) 524-6351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 232901 NY Primary

Addresses

Primary practice location

232 E 12TH St
Unit 1G
New York, NY 10003-9151

Mailing address

232 E 12TH St
Unit 1G
New York, NY 10003-9151
Phone (646) 524-6351

Other identifiers 1

IdentifierTypeStateIssuer
02797648MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2038206Julissa Baez MD, PC232 E 12TH St, Unit 1G, New York, NY 10003Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

232 E 12th St
Apt 1G
New York, NY 10003
Phone (212) 254-8930

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1538408075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E 12TH ST",
            "address_2": "UNIT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039151",
            "telephone_number": "646-524-6351",
            "fax_number": "646-524-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E 12TH ST",
            "address_2": "UNIT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039151",
            "telephone_number": "646-524-6351",
            "fax_number": "646-524-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULISSA BAEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-524-6351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02797648",
            "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 Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.