Active NPI
Julissa Baez, MD
- Pediatric Hospice and Palliative Medicine Physician
- New York, NY
National Provider Identifier
1609091909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hospice and Palliative Medicine Physician
- License
- 232901
- Practice address
- 232 E 12TH St
Unit 1G
New York, NY 10003-9151 - Phone
- (646) 524-6351
- Fax
- (646) 524-6362
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 232901 | NY | Primary |
Addresses
Primary practice location
232 E 12TH St
Unit 1G
New York, NY 10003-9151
Mailing address
2306 Esplanade Ave
Bronx, NY 10469-5408
Phone (347) 275-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02797648 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232901 | NY | MD | Pediatric Hospice and Palliative Medicine Physician |
Interoperability endpoints
- jbaez43967@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1609091909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 ESPLANADE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695408",
"telephone_number": "347-275-2030",
"fax_number": "347-275-2030"
},
{
"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": {
"last_name": "BAEZ",
"first_name": "JULISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"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 Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.