Active NPI
Julissa Baez MD PC
- Pediatrics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 232901
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julissa Baez, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02797648 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2038206 | Julissa Baez MD, PC | Certificate of waiver | Mar 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Hospice and Palliative Medicine Physician
- New York, NY
- NPI 1609091909
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.