Individual provider Active NPI

Barry A Baker, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1619078086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
147006 Issued in NY
Practice address
3665 East Tremont Ave
Bronx, NY 10465
Phone
(718) 863-7755
Fax
(718) 863-7050
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 147006 NY Primary

Addresses

Primary practice location

3665 East Tremont Ave
Bronx, NY 10465

Mailing address

3665 East Tremont Ave
Bronx, NY 10465
Phone (718) 863-7755

Other identifiers 1

IdentifierTypeStateIssuer
00700156MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101203000634 NY Practitioner - Internal Medicine 9234326216 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University Medical College - NLG, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3665 E Tremont Ave
Bronx, NY 10465-2011
Phone (718) 863-7755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147006NYMDInternal Medicine Physician

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619078086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 EAST TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-863-7755",
            "fax_number": "718-863-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 EAST TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-863-7755",
            "fax_number": "718-863-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BARRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "147006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00700156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.