Individual provider Active NPI

Bao Chau Minh Tran, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • South Plainfield, NJ
National Provider Identifier
1558501320
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA08559100 Issued in NJ
Practice address
285 Durham Ave
Suite 1a BLD 6
South Plainfield, NJ 07080-2546
Phone
(732) 338-0228
NPI assigned
Mar 5, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08559100 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08559100 NJ Primary

Addresses

Primary practice location

285 Durham Ave
Suite 1a BLD 6
South Plainfield, NJ 07080-2546

Mailing address

590 Hartford Dr
Nutley, NJ 07110-3948
Phone (732) 718-3165

Other practice location 1

590 Hartford Dr
Nutley, NJ 07110-3948
Phone (732) 718-3165

Other identifiers 2

IdentifierTypeStateIssuer
0240613MedicaidNJ
03538896MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000741 NJ Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - PodiatryPractitioner - AnesthesiologyPractitioner - Orthopedic Surgery 6507919214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Orthopedic Surgery, Pain Management, Podiatry
Education
Rutgers New Jersey Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

285 Durham Ave
Suite 1a
South Plainfield, NJ 07080-2555
Phone (732) 338-0228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BCT Medical Associates.LLC Anesthesiology CurrentSince Dec 13, 2016 Accepting new patients
Tri State Anesthesia, P.C Anesthesiology PastSince Jul 20, 2011 Accepting new patients
Ramapo Valley Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients

Locations

285 Durham Ave
Ste 1A
South Plainfield, NJ 07080
Phone (732) 338-0228

Organizations & group practices 8

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1558501320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 HARTFORD DR",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103948",
            "telephone_number": "732-718-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DURHAM AVE",
            "address_2": "SUITE 1A BLD 6",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802546",
            "telephone_number": "732-338-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Hartford Dr",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071103948",
            "country_code": "US",
            "telephone_number": "732-718-3165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BAO CHAU",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08559100",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08559100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240613",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03538896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.