Organization Active NPI

Bayway Medical Center LLC

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1619128410
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07629400 Issued in NJ
Legal business name
BAYWAY MEDICAL CENTER LLC
Practice address
636 Bayway Ave
Elizabeth, NJ 07202
Phone
(908) 994-1900
Fax
(908) 994-0900
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Dr. Antonio P Apigo
Title
Director
Phone
(908) 994-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA07629400 NJ Primary

Addresses

Primary practice location

636 Bayway Ave
Elizabeth, NJ 07202

Mailing address

636 Bayway Ave
Elizabeth, NJ 07202
Phone (908) 994-1900

Other identifiers 1

IdentifierTypeStateIssuer
0180980MedicaidNJ

National Provider Directory

National Provider Directory

Locations

636 Bayway Ave
Elizabeth, NJ 07202
Phone (908) 994-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1619128410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BAYWAY AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-994-1900",
            "fax_number": "908-994-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BAYWAY AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-994-1900",
            "fax_number": "908-994-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYWAY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "APIGO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-994-1900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07629400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180980",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.