Individual provider Active NPI

John C. Baumann, MD

  • Radiation Oncology Physician
  • Monroe TWP, NJ
National Provider Identifier
1619917507
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA04589800 Issued in NJ
Practice address
9 Centre Dr Ste 115
Monroe TWP, NJ 08831-5153
Phone
(609) 655-5755
Fax
(609) 655-5725
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA04589800 NJ Primary

Addresses

Primary practice location

9 Centre Dr Ste 115
Monroe TWP, NJ 08831-5153

Mailing address

9 Centre Dr Ste 115
Monroe TWP, NJ 08831-5153
Phone (609) 655-5755

Other practice location 1

3674 Route 27
Princeton Radiology Associates, P.A. Department B
Kendall Park, NJ 08824
Phone (732) 821-5563 ext. 1202

Other identifiers 2

IdentifierTypeStateIssuer
2512203MedicaidNJ
1790396281OtherNJTITAN HEALTH GROUP NPI#

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04589800NJMDRadiation Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1619917507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTRE DR STE 115",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088315153",
            "telephone_number": "609-655-5755",
            "fax_number": "609-655-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTRE DR STE 115",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088315153",
            "telephone_number": "609-655-5755",
            "fax_number": "609-655-5725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3674 Route 27",
            "address_2": "Princeton Radiology Associates, P.A. Department B",
            "address_purpose": "LOCATION",
            "city": "Kendall Park",
            "state": "NJ",
            "postal_code": "08824",
            "country_code": "US",
            "telephone_number": "732-821-5563 x1202",
            "fax_number": "732-821-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA04589800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2512203",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TITAN HEALTH GROUP NPI#",
            "identifier": "1790396281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.