Individual provider Active NPI

Mamie Jenneh Bayoh, CRNA

  • Certified Registered Nurse Anesthetist
  • Belleville, NJ
National Provider Identifier
1609395086
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00764000 Issued in NJ
Practice address
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone
(516) 945-3000
NPI assigned
Sep 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 117339 PA
Certified Registered Nurse Anesthetist 367500000X 26NJ00764000 NJ Primary

Addresses

Primary practice location

1 Clara Maass Dr
Belleville, NJ 07109-3550

Mailing address

416 Deer Creek Dr
Plainsboro, NJ 08536-3235
Phone (856) 520-1247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110002796 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517223324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00764000NJMDCertified Registered Nurse Anesthetist
117339PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Anesthesia Associates LLC CurrentSince Jul 9, 2022 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Oct 1, 2017 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Sep 15, 2018 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1609395086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 DEER CREEK DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363235",
            "telephone_number": "856-520-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "516-945-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYOH",
        "first_name": "MAMIE",
        "middle_name": "JENNEH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-17",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "117339",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00764000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.