Active NPI
Bernadette Baronia-White, M.D.
- Family Medicine Physician
- Verona, NJ
National Provider Identifier
1609142728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA09576300
- Practice address
- 799 Bloomfield Ave
Verona, NJ 07044-1367 - Phone
- (973) 746-7050
- NPI assigned
- Mar 23, 2012
- Last updated
- May 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 25MA09576300 | NJ | Primary |
Addresses
Primary practice location
799 Bloomfield Ave
Verona, NJ 07044-1367
Mailing address
21 Skyline Dr
Randolph, NJ 07869-2156
Phone (201) 230-2902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 2, 2021 through Jul 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- bernadette.baroniawhite@320923417575428.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1609142728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SKYLINE DR",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692156",
"telephone_number": "201-230-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 BLOOMFIELD AVE",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441367",
"telephone_number": "973-746-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARONIA-WHITE",
"first_name": "BERNADETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA09576300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.