Active NPI
Jack Baruch, M.D.
- Psychiatry Physician
- Key Biscayne, FL
National Provider Identifier
1669719514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME12512
- Practice address
- 781 Crandon Blvd
Suite Number 803
Key Biscayne, FL 33149-2543 - Phone
- (130) 536-5579
- Fax
- (130) 536-5579
- NPI assigned
- Jan 12, 2013
- Last updated
- Jan 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME12512 | FL | Primary |
| Psychiatry Physician | 2084P0800X | ME 12512 | FL |
Addresses
Primary practice location
781 Crandon Blvd
Suite Number 803
Key Biscayne, FL 33149-2543
Mailing address
781 Crandon Blvd
Suite Number 803
Key Biscayne, FL 33149-2543
Phone (130) 536-5579
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 12512 | FL | MD | Psychiatry Physician |
| ME12512 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357948800000",
"number": "1669719514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 CRANDON BLVD",
"address_2": "SUITE NUMBER 803",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331492543",
"telephone_number": "130-536-5579",
"fax_number": "130-536-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 CRANDON BLVD",
"address_2": "SUITE NUMBER 803",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331492543",
"telephone_number": "130-536-5579",
"fax_number": "130-536-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARUCH",
"first_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-12",
"last_updated": "2013-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME12512",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 12512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key Biscayne, FL
- Manuel Alvarez Jacinto, PHYSICIAN ASSISTANT
- Vivian Arias, LCSW, MSW
- Matthew Bainter, FNP-C
- Balanced Mind Psychiatry, LLC.
- Baptist Outpatient Services Inc (Baptist Health Express Care at Key Biscayne)
- Lisa Baruch, NBHWC
- Robin Raina Benjamin
- Bobes Psychiatry, LLC
- Virginia Bocage, D.D.S., M.M.S.C
- Lianet Bourzac, PHARMACIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.